| NPI | 1144002320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANNE GALLANT Owner 308-360-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |