| NPI | 1912551797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARRYN HELM Therapist 701-478-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2024-01-23 |