# PRIDE MANCHESTER INC.

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

## Provider details

- **NPI number:** 1346351475
- **Authorized official:** DARLA ROGGENBUCK (FINANCIAL COORDINATOR)
- **Authorized official phone:** (701) 258-7838

## Contact information

- **Practice address:** 1200 MISSOURI AVE, BISMARCK, ND 58504-5264
- **Practice address phone:** (701) 258-7838
- **Practice address fax:** (701) 258-3735
- **Mailing address:** 1200 MISSOURI AVE, BISMARCK, ND 58504-5264
- **Mailing address phone:** (701) 258-7838
- **Mailing address fax:** (701) 258-3735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 07/01/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 54382 | — | ND |