| NPI | 1598507121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA BATTLE Executive Director 701-651-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |