NPI | 1568492353 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY OLSON President/CEO 701-451-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: ND 316-8-1-95-97) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
261QR0400X Clinic/Center Rehabilitation | |
Enumeration Date | 2006-07-04 |
Last Update Date | 2024-07-25 |