| NPI | 1417364977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN EBERLE Counselor 701-367-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ND 694-8-1-11) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2015-11-09 |