| NPI | 1255969242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN OBAH CEO 701-270-9851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2022-03-09 |