NPI | 1255000170 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS JAMES HESS President 701-552-6578 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
261QM2500X Clinic/Center Medical Specialty | |
Enumeration Date | 2021-09-13 |
Last Update Date | 2024-02-16 |