| NPI | 1427788629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE DOERFLER Authorized Official 701-347-1782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101Y00000X Counselor |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2024-09-19 |