| NPI | 1710570171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL THOMAS CFO 701-448-2054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-02-17 |