| NPI | 1053655795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADOMYSL MARIAN TWARDOWSKI CEO 701-220-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: ND 6950) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-26 |