| NPI | 1144041880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH NOVINSKA Owner 507-273-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |