| NPI | 1275789273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE A. HULL Owner 701-240-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ND 414) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |