| NPI | 1902904121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE HOVENDICK Director 701-662-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |