| NPI | 1487322624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON T CHAPMAN Controller 701-499-7484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-22 |