| NPI | 1326771353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ANDERSON Owner 218-849-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-07 |