| NPI | 1659622983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY J SOEBY Owner 701-746-5359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ND R18130) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-10-10 |