| NPI | 1609227180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA LYNN CROWE Clinical Supervisoe 701-793-7692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1651) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |