| NPI | 1346540663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA K WATKINS Owner 701-471-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ND 29416) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2011-03-04 |