| NPI | 1649768359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN LAUREL STEELY Owner 612-404-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 23463) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2022-12-27 |