| NPI | 1679697668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE C OLSON Owner 701-426-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: ND 1181) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2020-08-22 |