# MCINTOSH COUNTY SOCIAL SERVICES

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

## Provider details

- **NPI number:** 1851782114
- **Authorized official:** MRS. BROOKE KOSIAK LSW (DIRECTOR)
- **Authorized official phone:** (701) 288-3343

## Contact information

- **Practice address:** 112 1ST ST NE, ASHLEY, ND 58413
- **Practice address phone:** (701) 288-3343
- **Practice address fax:** (701) 288-2186
- **Mailing address:** PO BOX 218, ASHLEY, ND 58413-0218
- **Mailing address phone:** (701) 288-3343
- **Mailing address fax:** (701) 288-2186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2015
- **Last updated:** 06/14/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 50736 | — | ND |