NPI | 1639779390 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE J STAIR TESSNESS Senior Accountant 701-712-5125 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2020-10-30 |
Last Update Date | 2020-10-30 |