| NPI | 1275088619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL LYN NELSON Owner/Therapist 701-356-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ND 597-1-1-08) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |