| NPI | 1225075906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY GALL Billing Supervisor 701-328-4583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: ND 1016) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-08-26 |