| NPI | 1497268858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH EMILY KAY-OSTRANDER Owner 641-780-1087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-04-06 |