| NPI | 1124069331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA AUKLAND Assistant CFO Dhs 701-328-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-12-10 |