| NPI | 1396982161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD D WAHUS Registered Agent 701-572-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ND 1204) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |