| NPI | 1356928741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE RENEE NYBERG Authorized Official/Owner 701-852-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2023-05-25 |