| NPI | 1821518929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA LERE Practice Manager 320-220-0912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NV PC0150) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-08-25 |