| NPI | 1053957357 |
|---|---|
| Former Legal Business Name | REFINE SERVICE COORDINATION, PLLC |
| Entity Type | Organization |
| Authorized Contact | MALLORY KATE FUCHS Owner/CEO 507-271-5089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |