| NPI | 1114059805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SZUDERA Business Administration Director 701-872-3745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2022-07-21 |