| NPI | 1437540929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MICHAEL BENSON Executive Director 701-297-7540 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN CC00827) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |