| NPI | 1588079156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ULRICH Administrator 701-662-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: ND 8007) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |