| NPI | 1326276361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE VERONICA PAIGE Business Owner 763-639-9159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |