| NPI | 1144600800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY DARWIN CLARK Clinical Social Worker 701-799-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 2973) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2016-06-01 |