| NPI | 1053360594 |
|---|---|
| Doing Business As | LIFEWAYS |
| Entity Type | Organization |
| Authorized Contact | JASON DEAN DOCKTER Manager 701-258-9848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2010-02-08 |