Organization
DAKOTA RENAISSANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCHARAZARD LEE GRAY M.D. (DIRECTOR)
(813) 310-9346
Entity
Organization
Contact information
Practice address
101 3RD AVE, # 44, PETTIBONE, ND 58475
(701) 273-6688
(888) 972-4098
Mailing address
101 3RD AVE, P.O. BOX 44, PETTIBONE, ND 58475
(701) 273-6688
(888) 972-4098
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
12015
ND
324500000X
Substance Abuse Rehabilitation Facility
Primary
12015
ND
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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