| NPI | 1952278582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACI JONES Owner 701-335-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2026-07-31 |