| NPI | 1174265359 |
|---|---|
| Doing Business As | BBM |
| Entity Type | Organization |
| Authorized Contact | KRYSTAL C BLOOM Director 701-390-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-06-24 |