| NPI | 1386729176 |
|---|---|
| Doing Business As | DAKOTA BOYS RANCH FARGO SAFE HOME |
| Entity Type | Organization |
| Authorized Contact | SHONDELL GANTZER Bookkeeper 701-858-0115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-10-25 |