NPI | 1497293799 |
---|---|
Doing Business As | WILLOW TREE COUNSELING |
Entity Type | Organization |
Authorized Contact | ERIN MARIE GRAHN Owner 701-730-8313 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: ND 699-10-1-11-238) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
251S00000X (Licence: ND 1650) | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2017-02-07 |
Last Update Date | 2024-11-12 |