| NPI | 1841464286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT M HELLA Medical Director 701-365-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: ND 8491) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |