| NPI | 1992045108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J LOPEZ President 701-478-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 10292) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2019-03-21 |