| NPI | 1073910741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA J HENKE President 701-214-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ND 9938 ND) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |