| NPI | 1992462774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER WINKLER Chief Compliance Officer 701-630-5684 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |