| NPI | 1255978490 |
|---|---|
| Other Name | A WAY OUT RECOVERY INC |
| Entity Type | Organization |
| Authorized Contact | DERRICK WADE HAASE President 612-916-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2021-09-20 |