| NPI | 1447606140 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JASMIN R BARRETT Founder 701-335-1567 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 20161272492) | 
| Enumeration Date | 2016-05-11 | 
| Last Update Date | 2016-05-11 |