| NPI | 1952322372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA AUKLAND Assistant CFO Dhs 701-328-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-12-10 |