| NPI | 1629615000 |
|---|---|
| Doing Business As | MEDIATION OF THE SELF |
| Entity Type | Organization |
| Authorized Contact | TYRONE CREW Owner 701-730-9365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374K00000X Religious Nonmedical Practitioner |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2024-02-04 |