| NPI | 1841449246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI VAREBERG Business Manager 701-293-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MN 1050972) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |