| NPI | 1477698876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE A WILHELM Counselor Ms Lpcc 701-232-2791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ND 36511196111) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-01-24 |