NPI | 1568065738 |
---|---|
Doing Business As | COTTENWOOD |
Entity Type | Organization |
Authorized Contact | RONALD LEE OLSON VP Of Finance 701-729-4939 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2020-11-19 |
Last Update Date | 2020-11-19 |