| NPI | 1922184167 |
|---|---|
| Doing Business As | DAKOTA BOYS RANCH FARGO RTC |
| Entity Type | Organization |
| Authorized Contact | SHONDELL GANTZER Financial Services Manager 701-858-0115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-03-29 |