Organization
GOODMAN ADDICTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA PADILLA GOODMAN MS, LAC (LAC/CEO)
(701) 833-5767
Entity
Organization
Contact information
Practice address
1809 SOUTH BROADWAY SUITE S., MINOT, ND 58701
(701) 852-3869
(701) 852-9024
Mailing address
1809 SOUTH BROADWAY SUITE. S, MINOT, ND 58701
(701) 852-3869
(701) 852-9024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1400
ND
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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