| NPI | 1699548214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN LAYNE Executive Director 701-828-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-07-26 |