NPI | 1104821784 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY R MCDONALD CEO 701-335-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: ND None) |
Enumeration Date | 2005-06-20 |
Last Update Date | 2020-08-22 |