| NPI | 1912243148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA BUSKIRK Office Manager 701-356-1276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: ND 372) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: ND 421) |
| Enumeration Date | 2012-12-16 |
| Last Update Date | 2012-12-16 |