| NPI | 1710600028 |
|---|---|
| Doing Business As | MIDWEST MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JACQUALINE KAY GERVAIS President/Owner 701-371-9769 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2024-06-27 |