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 |