NPI | 1932733193 |
---|---|
Doing Business As | 1 STEP AWAY DIVINE |
Entity Type | Organization |
Authorized Contact | CAROLYN JEAN BOYD-REED Administrator 414-839-6457 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2020-02-26 |
Last Update Date | 2020-02-26 |