Organization
LIBERTAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PARKES JD, PSS (DIRECTOR)
(701) 521-5122
Entity
Organization
Contact information
Practice address
12272 106TH ST NE, WALHALLA, ND 58282-9519
(701) 521-5122
Mailing address
12272 106TH ST NE, WALHALLA, ND 58282-9519
(701) 521-5122
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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