| NPI | 1477937258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LEE SLAUGHTER Owner/President/Secretary/Treasurer 701-839-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ND 38,965,300) |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2016-01-14 |