NPI | 1306629845 |
---|---|
Entity Type | Organization |
Authorized Contact | TARA R KATCHMARK Owner 612-559-1011 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-08-17 |
Last Update Date | 2023-08-17 |