OrganizationActive
A Way Out Sober Living LLC
NPI 1770436123 · Peer Specialist · Dassel, MN
Provider details
- NPI number
- 1770436123
- Entity type
- Organization
- Primary specialty
- Peer SpecialistOther Service Providers
- Authorized official
- Shanthala Marulasiddaiah, Office Support
Practice location
22851 Mn Highway 15
Dassel, MN 55325-3568
Phone: (612) 916-8770
Fax: (612) 268-4733
Mailing address
22851 Mn Highway 15
Dassel, MN 55325-3568
Registry dates
- Enumerated
- 2026-02-17
- Last updated
- 2026-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.