| NPI | 1437707692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI GERBER Administrative Assistant 701-526-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2022-10-07 |