| NPI | 1659807949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DOMINE Licsw/Co Owner 701-478-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ND 42998200) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2024-11-22 |