| NPI | 1144582933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM EISSINGER CEO 701-952-5187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2021-03-03 |