| NPI | 1922547801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA GIPP CEO 701-854-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |