| NPI | 1417037060 |
|---|---|
| Doing Business As | LIFESTYLE COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | WILLIAM M. WALBERG Executive Director 952-447-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 810953-1) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-10 |