NPI | 1639715402 |
---|---|
Doing Business As | PRO RECOVERY AND THERAPY |
Entity Type | Organization |
Authorized Contact | LAUREN FORTMAN Owner 651-204-9144 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2019-11-26 |
Last Update Date | 2024-03-19 |