| NPI | 1174314710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA MARIE BLISS Ladc/Owner 715-619-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |