| NPI | 1982117602 |
|---|---|
| Doing Business As | PATH TRAUMA AND STRESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | KAREN BAUKOL Human Resource Director 701-551-6318 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2020-05-13 |