| NPI | 1730703984 |
|---|---|
| Other Name | 5TH GENERATION HEALING CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMIE AZURE Chief Executive Officer 701-477-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |