Organization
A NEW CREATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERI LADAWN HOFFART (OWNER)
(701) 350-2362
Entity
Organization
Contact information
Practice address
1115 2ND ST NE, DEVILS LAKE, ND 58301-3227
(701) 350-2362
Mailing address
1115 2ND ST NE, DEVILS LAKE, ND 58301-3227
(701) 350-2362
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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