| NPI | 1114819828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARR KLEMETSRUD Director 701-662-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X Community/Behavioral Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-30 |