NPI | 1427243948 |
---|---|
Entity Type | Organization |
Authorized Contact | TERI VAREBERG Administrative Director 701-293-5429 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: ND 1073) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2008-01-18 |