NPI | 1730212325 |
---|---|
Former Legal Business Name | CHILDREN'S DEVELOPMENT CENTER |
Entity Type | Organization |
Authorized Contact | THOMAS MATTHEW BRY President 701-258-1569 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: ND 376) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2023-10-30 |