| NPI | 1417000233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT A SNYDER Executive Director 701-222-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: ND 1001) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2026-05-19 |