| NPI | 1104081116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA MARUM Director Of Finance 701-532-4578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2024-01-12 |