| NPI | 1649937640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON JACKSON Billing Manager 701-252-3850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2026-03-09 |