| NPI | 1942755541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE CONRAD Owner/Provider 701-738-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 3613) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |