| NPI | 1396144366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FRANK POSPISHIL Manager 701-858-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ND 41) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |