| NPI | 1144157538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SE-AROM WELDEGIORGIS Owner 204-821-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-05-07 |
| Last Update Date | 2026-05-07 |