# COMMUNITY OPTIONS FOR RESIDENTIAL AND EMPLOYMENT SERVICES, INC

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

## Provider details

- **NPI number:** 1356951503
- **Authorized official:** MR. BRYAN L WETCH (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (701) 223-2417

## Contact information

- **Practice address:** 4909 SHELBURNE ST, BISMARCK, ND 58503
- **Practice address phone:** (701) 223-2417
- **Mailing address:** 4909 SHELBURNE ST, BISMARCK, ND 58503
- **Mailing address phone:** (701) 223-2417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 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

- **Enumeration date:** 08/03/2020
- **Last updated:** 04/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1481150 | — | ND |
| 05 | — | 1481175 | — | ND |
| 05 | — | 1481875 | — | ND |