| NPI | 1194693028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADIE ANN WILLIAMSON-JANN Owner 651-324-4697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-23 |