# WILLIAMS COUNTY SOCIAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093213464
- **Authorized official:** DONNA BARKE (ADMINISTRATIVE STAFF OFFICER I)
- **Authorized official phone:** (701) 774-6300

## Contact information

- **Practice address:** 110 W BROADWAY STE 202, WILLISTON, ND 58801-6056
- **Practice address phone:** (701) 774-6300
- **Practice address fax:** (701) 572-9794
- **Mailing address:** 110 W BROADWAY STE 202, WILLISTON, ND 58801-6056
- **Mailing address phone:** (701) 774-6300
- **Mailing address fax:** (701) 572-9794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2018
- **Last updated:** 01/31/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1466349 | — | ND |