| NPI | 1437283587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE HALL Billing 701-222-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: ND 1156) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |