| NPI | 1417140575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WOOD Executive Director 701-795-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2024-05-29 |