| NPI | 1184469637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY JO BURGAD-WIFALL Behavioral Health Therapist 701-321-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |