| NPI | 1811616956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CHARLENE MATTHEWS Executive Director 701-234-4409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |