| NPI | 1093522153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOZIA ABDULLAHI Manager 701-491-3819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |