| NPI | 1750998423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ELSTAD Executive Director 218-310-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |