| NPI | 1417609934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI ADEN Owner 612-208-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2026-03-03 |