| NPI | 1316531817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA FAYE SCHNASE Administrative Assistant 701-212-8626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |