| NPI | 1508606823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA DAWN GUILBERT Clinical Psychologist 701-340-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-05-27 |
| Last Update Date | 2024-05-27 |