| NPI | 1164624458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN PODRYGULA President 701-852-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2009-02-27 |