| NPI | 1275194136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN MARTINSON Owner 701-341-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2025-02-01 |