| NPI | 1578125852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN R. MESSER Chief Financial Officer 701-751-5704 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |