| NPI | 1619763299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MOSER Owner 701-516-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |