Organization
FAMILY INSTITUTE, PC
Active
Organization
FAMILY INSTITUTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. APRIL RAIN BRADLEY PH.D. (PRESIDENT)
(701) 772-1588
Entity
Organization
Contact information
Practice address
2100 S COLUMBIA RD, SUITE 202, GRAND FORKS, ND 58201-5895
(701) 772-1588
(701) 746-6077
Mailing address
2100 S COLUMBIA RD, SUITE 202, GRAND FORKS, ND 58201-5895
(701) 772-1588
(701) 746-6077
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
184
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18321
—
ND
Enumeration date
07/14/2006
Last updated
12/20/2011
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