| NPI | 1639716806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ROBERTSON Co Owner 701-335-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2023-01-31 |