# CIRCLE OF LIFE RECOVERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Circle of Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477786051
- **Authorized official:** NELLIE BOYD (DIRECTOR)
- **Authorized official phone:** (701) 627-4700

## Contact information

- **Practice address:** 304 7TH ST. N, NEW TOWN, ND 58763-9402
- **Practice address phone:** (701) 627-4700
- **Practice address fax:** (701) 627-4700
- **Mailing address:** 404 FRONTAGE ROAD, NEW TOWN, ND 58763-9404
- **Mailing address phone:** (701) 627-4700
- **Mailing address fax:** (701) 627-4105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1115 | ND | Yes |

## Other

- **Enumeration date:** 08/28/2009
- **Last updated:** 10/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1115 | DEPARTMENT OF HUMAN SERVICES | ND |