| NPI | 1851168975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEYENNE PUETZ Owner 701-581-5199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-26 |