| NPI | 1831585660 |
|---|---|
| Doing Business As | JENNIFER LIPETZKY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LIPETZKY Owner 701-952-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: ND 59182707202) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |