| NPI | 1154405983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KOCH Finance Manager 701-597-3419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |