| NPI | 1629544267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY MICHELLE BAKER Billing Specialist 701-751-8260 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |