| NPI | 1629768221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS SMITH Office Manager 701-428-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |