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