| NPI | 1801517917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA COMBS Owner 701-299-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2023-07-28 |