| NPI | 1356115505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY FISHER CEO 218-779-7185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |