| NPI | 1003451253 |
|---|---|
| Doing Business As | GROUNDWORK, LLC |
| Entity Type | Organization |
| Authorized Contact | KRISTIN SIMONS HOLMBERG Owner 458-292-9972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2022-06-20 |