| NPI | 1922755669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL Y MCCORMACK Owner 701-818-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |