NPI | 1003497975 |
---|---|
Doing Business As | NORTHERN STAR HEALING, PLLC |
Entity Type | Organization |
Authorized Contact | DANIEL ELI NOVAK Owner 208-794-0048 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2021-04-21 |
Last Update Date | 2021-04-21 |