| NPI | 1982754552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN PORTER Partner Authorized Signature 701-391-7968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 2899) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2010-03-03 |