| NPI | 1447748918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE CAVETT Clinical Director, Psychologist 701-260-0713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2019-03-12 |