| NPI | 1205243565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWILA M JEROME Grant Clearinghouse Director 701-477-2648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |