| NPI | 1710545231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUE PELTIER 3rd Party Billing Manager 701-766-1667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2020-03-12 |