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Organization

WHOLE PERSON RECOVERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN S GROVE LICENSED ADDICTION (DIRECTOR COUNSELOR)
(701) 224-1261
Entity
Organization

Contact information

Practice address
1138 SUMMIT BOULEVARD, BISMARCK, ND 58504-5280
(701) 224-1261
Mailing address
1138 SUMMIT BOULEVARD, BISMARCK, ND 58504-5280
(701) 224-1261

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1040
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
1257
ND
101YP2500X
Professional Counselor
Primary
84719120
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17995
PIN NUMBER BCBS ND
ND
01
9214
PIN NUMBER BCBS ND
ND
01
9215
PIN NUMBER BCBS ND
ND
Enumeration date
05/22/2007
Last updated
09/11/2025
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