| NPI | 1053150995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENIKA BORDEAUX-COLLINS Director 701-799-6012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |