NPI | 1578669354 |
---|---|
Entity Type | Organization |
Authorized Contact | D'ARCY ADAIRE HONEYCUTT Owner/Medical Director 701-530-8450 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: ND 7766) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2020-08-22 |