NPI | 1821110982 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY LEIGH SAYLER Owner 701-772-3851 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: ND 986) |
Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: ND 933) |
261QP2000X Clinic/Center, Physical Therapy (Licence: ND 1071) | |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-08-22 |