| NPI | 1376286633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN BELGARDE Board Member 701-477-2671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-11-28 |