NPI | 1013688084 |
---|---|
Other Name | KATHY R PFLIPSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: LA 1811543838) |
Enumeration Date | 2021-09-21 |
Last Update Date | 2021-09-21 |