| NPI | 1811014160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH P JOHNSON Pharmacist Ii 701-253-3612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: ND 584) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-06-26 |