NPI | 1578835641 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE REMBOLDT CEO 701-663-0379 |
Organization Subpart ? | Yes |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2012-02-03 |
Last Update Date | 2024-04-17 |