| NPI | 1649363144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA AUKLAND Assistant CFO Dhs 701-328-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: ND 169) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ND 169) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-12-10 |