| NPI | 1043080229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LAHREN Administrator 701-787-1295 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-02-09 |