| NPI | 1750246179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIAZIZ AHMED HASSAN Owner 701-730-9489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2026-04-13 |