| NPI | 1073601258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY W MAGNISON Chief Financial Officer 701-476-7221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ND 5063A) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |