| NPI | 1053569798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY ANDERSON Founder/Mental Health Clinican 320-259-7706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 12688) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 300215) |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2022-06-17 |