| NPI | 1801195045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED ERIE CEO 701-483-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2021-09-30 |