| NPI | 1164898136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO ELIZABETH ANDERSEN Clinical Counselor / Owner 701-793-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 51710104176) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |