| NPI | 1811614704 |
|---|---|
| Other Name | CCND BISMARCK ND |
| Entity Type | Organization |
| Authorized Contact | DELRAE AMANN Credentialing Representative 701-371-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-10-21 |