Resilient Fusion
NPI #1063264612 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1063264612
- Entity Type
- Organization
- Organization Name
- Resilient Fusion
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Apr 4, 2024
- Last Updated
- Apr 4, 2024
Practice Location
- Address
- 3662 POINTE PASS NW
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372-4555
- Phone
- (952) 210-2724
Authorized Official
- Name
- LATASHA PETERSON, LPCC
- Title
- OWNER
- Phone
- (952) 210-2724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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