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Organization
COMMUNITY OPTIONS FOR RESIDENTIAL AND EMPLOYMENT SERVICES, INC
Active
Organization
COMMUNITY OPTIONS FOR RESIDENTIAL AND EMPLOYMENT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN L WETCH (CHIEF EXECUTIVE OFFICER)
(701) 223-2417
Entity
Organization
Contact information
Practice address
4909 SHELBURNE ST, BISMARCK, ND 58503
(701) 223-2417
Mailing address
4909 SHELBURNE ST, BISMARCK, ND 58503
(701) 223-2417
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
NULL
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1481150
—
ND
05
—
1481175
—
ND
05
—
1481875
—
ND
Enumeration date
08/03/2020
Last updated
04/26/2021
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