NPI | 1962130666 |
---|---|
Other Name | LACEY GLUECKERT |
Former Legal Business Name | CHOICE RECOVERY COUNSELING/LACEY GLUECKERT |
Entity Type | Organization |
Authorized Contact | LACEY GLUECKERT Owner 701-770-9743 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-08-10 |
Last Update Date | 2024-07-01 |