NPI | 1053092080 |
---|---|
Doing Business As | MIND OVER MATTER |
Entity Type | Organization |
Authorized Contact | KEVIN L DOSS Clinical Substance Abuse Counselor 608-886-4716 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-07-31 |
Last Update Date | 2023-07-31 |