| NPI | 1497292494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN LARSON Licensed Professional Counselor Ass 701-430-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 170684) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |