| NPI | 1982158754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RESSLER Sole Proprietor 701-426-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ND 514) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |