| NPI | 1811660590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL SMITH Addictions Counselor 651-399-6347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |