| NPI | 1871089284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE SYLTIE President 507-828-3869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |