| NPI | 1740790005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ANN OLSON Speech Language Pathologist 701-866-4934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: ND 1047) |
| 261QH0700X Clinic/Center, Hearing and Speech (Licence: MN 8413) | |
| Enumeration Date | 2017-10-01 |
| Last Update Date | 2020-07-23 |