NPI | 1265556203 |
---|---|
Doing Business As | ODYSSEY - COUNTY HOME SCHOOL |
Entity Type | Organization |
Authorized Contact | VALERIE BUNDY Controller 612-326-7555 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1020218) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-08-22 |