| NPI | 1821695263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA ESPINOZA Business Manager 701-775-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2021-02-02 |