| NPI | 1346987302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENIKA NICOLE BORDEAUX-COLLINS Licensed Master Addiction Counselor 701-261-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2023-09-13 |