NPI | 1861810053 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS NEWBERGER Executive Director 701-235-0971 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
Enumeration Date | 2014-04-03 |
Last Update Date | 2014-04-03 |