| NPI | 1306581889 |
|---|---|
| Doing Business As | WELLSPRING SECOND CHANCE CENTER |
| Entity Type | Organization |
| Authorized Contact | DESERIA L GALLOWAY CEO 612-296-2895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-04-29 |