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 |