| NPI | 1518720408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLA C NWACHUKWU Psychiatric Nurse Practitioner 701-491-2879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |