| NPI | 1477242030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN SWEET Office Manager 701-652-3087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |