NPI | 1477508034 |
---|---|
Entity Type | Organization |
Authorized Contact | LLOYD MARK BELL Owner/President 701-852-8798 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 466111501131) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ND 10) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 6341) | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: ND R20273) | |
Enumeration Date | 2006-05-23 |
Last Update Date | 2020-08-22 |