| NPI | 1316143175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE COFER Asst. Director 701-483-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: ND 8054a) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2008-11-18 |