| NPI | 1306410550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA C KELNER Owner 701-381-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2024-01-05 |