| NPI | 1871158733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD M WAHL Psychologist/Owner 701-415-8271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |