| NPI | 1225807316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI LADAWN HOFFART Owner 701-350-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |