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 |