# DAKOTA BOYS & GIRLS RANCH ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dakota Boys Ranch Minot RTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578649711
- **Authorized official:** TAMMY MORENO (CREDENTIALING)
- **Authorized official phone:** (701) 364-2950

## Contact information

- **Practice address:** 6301 19TH AVE NW, MINOT, ND 58703
- **Practice address phone:** (701) 857-4232
- **Practice address fax:** (701) 852-1190
- **Mailing address:** 6301 19TH AVE NW, MINOT, ND 58703-8899
- **Mailing address phone:** (701) 857-4232
- **Mailing address fax:** (701) 852-1190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | ND | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 05/05/2026