| NPI | 1881365708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE R MONTGOMERY Owner 701-572-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |