| NPI | 1245652569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB M HAYES Director 701-838-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: ND 1428) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |