NPI | 1982387866 |
---|---|
Entity Type | Organization |
Authorized Contact | SHENIKA BORDEAUX-COLLINS Administrator 701-261-2455 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0801X |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2023-08-08 |
Last Update Date | 2024-01-10 |