| NPI | 1780383331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE ALLEN BARTZ COO 701-929-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |