| NPI | 1083823546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S GROVE Director Counselor 701-224-1261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1040) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1257) |
| 101YP2500X Counselor, Professional (Licence: ND 84719120) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |