NPI | 1760103626 |
---|---|
Entity Type | Organization |
Authorized Contact | ADDY NELSON Ladc, Lpcc, Lbsw 701-936-1190 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2022-09-08 |
Last Update Date | 2023-07-11 |