NPI | 1003832783 |
---|---|
Entity Type | Organization |
Authorized Contact | APRIL RAIN BRADLEY President 701-772-1588 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: ND 184) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2011-12-20 |