| NPI | 1063995595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE CHRISTINE ELDRED Owner/Therapist 701-580-4623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |