| NPI | 1518735315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISHA KAMROWSKI Owner/Provider 701-839-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |