| NPI | 1932146941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY J STENSETH Director 701-298-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: ND 1015) |
| Additional Taxonomies | 261Q00000X |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-12-10 |