| NPI | 1992503924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE M REINARDY SPIRY Owner 701-356-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |