| NPI | 1548978026 |
|---|---|
| Doing Business As | PAUL'S PLACE |
| Entity Type | Organization |
| Authorized Contact | TEDD HERMAN CEO 701-955-2645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |