| NPI | 1821796160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELVET OLSON Director Of Revenue Cycle 701-751-5727 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |