| NPI | 1386117968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANE MARIE LAFRANCE Owner 218-277-8560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2020-01-18 |