| NPI | 1508372236 |
|---|---|
| Doing Business As | NORTH STAR WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TATIANA DAUGHTREY COFFMAN Owner 480-788-2898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2021-08-31 |