NPI | 1619035276 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY TRAEN President/CEO 701-532-4345 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: ND 1056) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2025-05-01 |