NPI | 1235309063 |
---|---|
Other Name | DIANES GROUP HOME |
Entity Type | Organization |
Authorized Contact | MIKE REMBOLDT CEO 701-663-0379 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2008-03-07 |
Last Update Date | 2024-04-17 |