| NPI | 1609054154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI VAREBERG Administrative Director 701-293-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |