| NPI | 1972952034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY JEAN SCHOCK Occupational Therapist 701-220-9310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: ND 1412) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |