| NPI | 1972282549 |
|---|---|
| Former Legal Business Name | SHAMELESS THERAPY & CONSULTING SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE GOLOB Owner 507-571-2942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |