Organization
TRANSITIONAL LIVING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALAN SPENCER (CHIEF OF OPERATIONS)
(701) 968-2646
Entity
Organization
Contact information
Practice address
4399 88TH AVE NE, DEVILS LAKE, ND 58301-8704
(701) 398-3031
(701) 398-3029
Mailing address
7448 68TH AVE NE, CANDO, ND 58324-9485
(701) 968-2646
(701) 968-2650
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1215
ND
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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