| NPI | 1497536569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS CHIMANGA President 701-320-4871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |