| NPI | 1083331649 |
|---|---|
| Doing Business As | SPIRIT LAKE TRIBE TIWAHE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | CARLA CARMONA Program Manager 701-766-4736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |