| NPI | 1427593698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE OWEN Executive Director 701-334-6242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2020-03-15 |