| NPI | 1649461344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA K KENNEY Licensed Psychologist 701-662-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: ND 377) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: ND 464) |
| 1041C0700X Social Worker Clinical (Licence: ND 4370) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2013-04-17 |