| NPI | 1780207647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVETTE MELBY Executive Director 701-837-4989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |