| NPI | 1073000469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA PADILLA GOODMAN Lac/CEO 701-833-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1400) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |