NPI | 1871186726 |
---|---|
Entity Type | Organization |
Authorized Contact | STACEY BERGER JOHNSON CEO 701-833-1246 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-02-11 |
Last Update Date | 2024-09-11 |