| NPI | 1558731083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARISSA LYNN SCHMOLL Marriage And Family Therapist 701-212-3469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MN 1947) |
| Enumeration Date | 2015-09-26 |
| Last Update Date | 2015-09-26 |