| NPI | 1376342857 |
|---|---|
| Former Legal Business Name | NORTHSTAR BIPOC WELLNESS CTR, LLC |
| Entity Type | Organization |
| Authorized Contact | JASMIN HIGGINS CEO 515-236-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |