| NPI | 1376147751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA J PETERSON Financial Manager 701-774-8593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-30 |