| NPI | 1922626456 |
|---|---|
| Doing Business As | PIVOTAL COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | TESS R JOHNSON Owner Of Private Practice/Therapist 701-521-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2021-11-24 |