| NPI | 1336028489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASCHA MCCORMICK Owner 952-297-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 251E00000X Home Health | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-09-01 |