| NPI | 1710498985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA CONDOL Executive Director 701-202-7073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2018-03-17 |