| NPI | 1750597639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA F DUCKWITZ Co Owner 701-476-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 814) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1024) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1058) | |
| 104100000X Social Worker (Licence: ND 856) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-08-27 |