| NPI | 1639981343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE K. DOERFLER Authorizing Official 701-347-1782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |