NPI | 1134586647 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE ANN WESTBROCK Owner 701-425-1058 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ND 58881507194) |
Enumeration Date | 2016-01-28 |
Last Update Date | 2016-01-28 |