| NPI | 1194262014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RAE DECKER CEO 701-639-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ND 1633) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |