NPI | 1356854715 |
---|---|
Doing Business As | ANEW CHEMICAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | MICHAELENE COLESTOCK Owner/Founder/CEO 651-402-4055 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1083233) |
Enumeration Date | 2017-11-08 |
Last Update Date | 2024-09-02 |