| NPI | 1720761927 |
|---|---|
| Doing Business As | RECOVERY ROOTS |
| Entity Type | Organization |
| Authorized Contact | KASEY LYN WILSON Sud Counselor 218-380-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-08-27 |