| NPI | 1093528119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER EBERLE Owner 701-367-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-06-09 |