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