| NPI | 1831824374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE J FERDERER Director 701-851-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |