NPI | 1235412388 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY TRAEN CEO/President 701-532-4345 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ND 1056) |
Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2011-09-26 |
Last Update Date | 2025-05-01 |