| NPI | 1184367567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN KERBER Executive Director 701-586-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-12-13 |