| NPI | 1154845683 |
|---|---|
| Other Name | STAGE BY STAIGE- JAIL |
| Entity Type | Organization |
| Authorized Contact | KAREN LOUISE STAIGE Counselor, Co Owner 507-216-5151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304332) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2019-10-30 |