| NPI | 1124618327 |
|---|---|
| Doing Business As | NORTH STAR WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JENNELLE ALVIN Owner 802-345-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-02-12 |