| NPI | 1346993086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DAWN CUMMINS Owner, Provider 701-535-0289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2025-02-18 |