| NPI | 1174566335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI GUSTAFSON Administrator 701-256-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: ND R19635) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-11-06 |