NPI | 1205903481 |
---|---|
Entity Type | Organization |
Authorized Contact | TYREL HEGLAND President/CEO 701-282-6561 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: ND 1056) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2020-09-23 |