| NPI | 1871795526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROLLAND SJOSTROM Director Of Programming 701-667-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children (Licence: ND 11856) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-08-14 |