| NPI | 1346567328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES P. DRAKE President 701-293-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MN 1044691-1-CDT) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |