| NPI | 1083260392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONYA BLAIR-TISCHER Clinical Psychologist 701-640-9453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |