| NPI | 1295608479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA LYNN KLEIN Owner 701-220-6784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-11-20 |