| NPI | 1699983932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA IRENE PETERSON Director 701-252-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1075) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-06-03 |