| NPI | 1205369824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON TAIT President 701-740-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AR 16-21P) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AR 16-22P) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2024-05-11 |