Organization
COMPASSIONATE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCY MIANTONA (OWNER/NP)
(763) 445-2799
Entity
Organization
Contact information
Practice address
11670 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-7195
(763) 445-2799
Mailing address
11670 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-7195
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
01/09/2024
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