| NPI | 1841991163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA M GARTNER Owner 701-240-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-04-28 |