NPI | 1063146595 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH NOLL Owner/Clinician 701-799-6381 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-07-11 |
Last Update Date | 2022-07-11 |