| NPI | 1598164972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JEAN MOOS Psychiatric Clinical Nurse Speciali 701-952-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: ND R33306) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-10-16 |