Organization
STANDING ROCK EARLY CHILDHOOD TRACKING PROGRAM
Active
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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