| NPI | 1346305190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE V. BURCKHARD Clinical Director 701-852-5876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: ND 120) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2014-11-19 |