| NPI | 1558427708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA AUKLAND Assistant CFO Dhs 701-328-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-12-10 |