| NPI | 1770603730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIRK DONOVAN WILKE Chief Operating Officer 701-329-3256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2017-10-17 |