| NPI | 1700026317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R HAWLEY Director/Owner 701-351-1182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ND 2645) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |