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Organization
CIRCLE OF LIFE RECOVERY CENTER
Active
Organization
CIRCLE OF LIFE RECOVERY CENTER
Active
Other names
Circle of Life
Organization subpart
No
Provider details
NPI number
Authorized official
NELLIE BOYD (DIRECTOR)
(701) 627-4700
Entity
Organization
Contact information
Practice address
304 7TH ST. N, NEW TOWN, ND 58763-9402
(701) 627-4700
(701) 627-4700
Mailing address
404 FRONTAGE ROAD, NEW TOWN, ND 58763-9404
(701) 627-4700
(701) 627-4105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1115
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1115
DEPARTMENT OF HUMAN SERVICES
ND
Enumeration date
08/28/2009
Last updated
10/05/2022
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