| NPI | 1467900209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA F NYSTUEN Clinical Therapist 701-641-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ND 4400) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |