NPI | 1750196721 |
---|---|
Entity Type | Organization |
Authorized Contact | HEIDI ECKROTH Owner And Provider 701-226-8270 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-02-07 |
Last Update Date | 2025-02-08 |