| NPI | 1881410330 |
|---|---|
| Doing Business As | AUTHENTIC LIVING THERAPY BY AMANDA |
| Entity Type | Organization |
| Authorized Contact | AMANDA ROSE THOOFT Owner 651-398-9262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |