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Organization
DAKOTA BOYS & GIRLS RANCH ASSOCIATION
Active
Organization
DAKOTA BOYS & GIRLS RANCH ASSOCIATION
Active
Other names
Dakota Boys & Girls Ranch RCCF
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MORENO (CREDENTIALING)
(701) 364-2950
Entity
Organization
Contact information
Practice address
6301 19TH AVE NW, MINOT, ND 58703
(701) 858-0115
Mailing address
6301 19TH AVE NW, MINOT, ND 58703-8899
(701) 858-0115
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54725
—
ND
Enumeration date
10/31/2006
Last updated
05/05/2026
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