| NPI | 1235799842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY SCHANK Owner 701-412-3938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2020-05-14 |