| NPI | 1336613728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE E BURL Licensed Professional Counselor 701-936-1342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |