| NPI | 1720948227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUKRI ALI Manager 701-730-8274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-17 |