| NPI | 1083037709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI VAREBERG Business Manager 701-293-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MN 1066567) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |