| NPI | 1477570497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE GAPP Business Manager 701-446-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 00962) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-04-03 |