| NPI | 1245475797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL THOMAS EVENSON President 701-200-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: ND 995) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |