| NPI | 1942686860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE KRINGEN Owner 701-580-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2020-01-28 |