| NPI | 1245807452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL AFANASI POLANSKI Licensed Clinical Social Worker 701-630-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2023-04-17 |