NPI | 1770132284 |
---|---|
Entity Type | Organization |
Authorized Contact | DIONNE LYNN SPOONER Owner 701-721-8978 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-09-06 |
Last Update Date | 2019-09-27 |