| NPI | 1467039958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANDREA BRENNY Authorized Official/Owner 701-212-7662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-03-29 |