| NPI | 1851476105 |
|---|---|
| Doing Business As | DAKOTA BOYS RANCH WESTERN PLAINS |
| Entity Type | Organization |
| Authorized Contact | SHONDELL GANTZER Bookkeeper 701-858-0115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |