| NPI | 1407254196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY HALVORSON Business Manager 701-857-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1106) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |