| NPI | 1518710813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH SMITH Director 701-368-9461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |