NPI | 1770215873 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERICE SCHALESKY Director/Owner 701-822-3326 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-06-28 |
Last Update Date | 2022-12-09 |