| NPI | 1164889416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY A GABBERT Managing Member 701-227-7579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-19 |