| NPI | 1437181591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BATTLES Office Manager 701-780-6821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ND 360) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-02-12 |