| NPI | 1942969175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIENNE GIDDINGS CEO 763-221-8274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |