| NPI | 1699123117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KAY DELZER Office Manager/Billing Specialist 701-751-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ND 1371) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |