| NPI | 1518562826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN KRENZ Owner 701-391-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |