| NPI | 1659966877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN D SYVERSON CFO 701-269-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |