| NPI | 1902670995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA MAE BLANCHARD Treatment Director 701-899-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2024-09-30 |