| 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 |