NPI | 1922352194 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY R OLSON Clinical Director / Owner 701-426-6308 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: ND 1232) |
Enumeration Date | 2012-11-09 |
Last Update Date | 2012-11-09 |