| NPI | 1639837941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI PLECITY Director 701-541-0875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 251K00000X Public Health or Welfare | |
| 251V00000X Voluntary or Charitable | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2022-01-27 |