| NPI | 1003335118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALEE RACHELE TANGEN Owner/Therapist 701-300-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 4338) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-07-21 |