| NPI | 1811437916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN E TALLAKSON President 701-364-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ND 4765102175) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |