| NPI | 1386383354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIA CASHMAN Co Owner 612-250-0209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2022-05-30 |
| Last Update Date | 2022-05-30 |