| NPI | 1104347137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY A SMITH Owner/Lsw 701-255-3717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |