Organization
WEST CENTRAL HUMAN SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA AUKLAND (ASSISTANT CFO - DHS)
(701) 328-4924
Entity
Organization
Contact information
Practice address
412 BIRCHWOOD DR, BISMARCK, ND 58504-6209
(701) 425-3930
Mailing address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1208
(701) 628-8888
(701) 628-8900
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1018
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054522
—
ND
01
—
CN2142
RR MEDICARE
ND
Enumeration date
06/30/2009
Last updated
12/10/2020
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