| NPI | 1184338915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY KAY SANNES Admin 1915i 701-429-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |