| NPI | 1427786979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWIN ARNESON Owner 262-933-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-11 |