| NPI | 1750701280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAR HICKEL Office Manager 701-839-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 2997) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-05-15 |