| NPI | 1821845439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA DAWN GUILBERT Clinical Psychologist 701-340-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-02 |