| NPI | 1225459027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA THOMASSON CEO 701-235-7341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2020-04-21 |