| NPI | 1003367103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA JEAN LAMOTTE-PETERSON Owner/Director 701-266-5118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: ND 1605) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |