| NPI | 1063286821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CASSIDAY Executive Director 701-415-6233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-12-03 |