| NPI | 1265658967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE ANN BRUSTAD Owner 701-746-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-10-26 |