| NPI | 1144227430 |
|---|---|
| Former Legal Business Name | LIVING WORD CHRISTIAN CENTER DBA LIVING FREE RECOVERY SERVICES |
| Entity Type | Organization |
| Authorized Contact | TREENA HAASE President 763-315-7174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 830992-2-CDT) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2017-11-01 |