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Organization

STANDING ROCK EARLY CHILDHOOD TRACKING PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEORGE D STARR (DIRECTOR)
(701) 854-3678
Entity
Organization

Contact information

Practice address
001 STANDING ROCK AVENUE, FT. YATES, ND 58538
(701) 854-3678
Mailing address
PO BOX 697, FT. YATES, ND 58538
(701) 854-3678
(701) 854-7181

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
ND
225X00000X
Occupational Therapist
551
ND
235Z00000X
Speech-Language Pathologist
ND
252Y00000X
Early Intervention Provider Agency
Primary
ND

Other

Enumeration date
03/29/2012
Last updated
03/29/2012
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