NPI | 1356576979 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY TRAEN CEO/President 701-532-4345 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: ND 1056) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2009-05-27 |
Last Update Date | 2025-05-01 |