| NPI | 1972343564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENELLE OLSON Chief Strategy Officer 701-751-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |