| NPI | 1619578077 |
|---|---|
| Other Name | 1517/1519 HOME |
| Entity Type | Organization |
| Authorized Contact | PAUL R KRAMER Fco 701-667-8614 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2024-04-17 |