| NPI | 1548017759 |
|---|---|
| Doing Business As | SPIRITUAL HEALING SOBER LIVING |
| Entity Type | Organization |
| Authorized Contact | EBONY STEVENSON CEO 612-236-3204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |