Organization
COMMUNITY OPTIONS FOR RESIDENTIAL AND EMPLOYMENT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN L WETCH (CHIEF EXECUTIVE OFFICER)
(701) 223-2417
Entity
Organization
Contact information
Practice address
4909 SHELBURNE ST, BISMARCK, ND 58503
(701) 223-2417
Mailing address
4909 SHELBURNE ST, BISMARCK, ND 58503
(701) 223-2417
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1481150
—
ND
05
—
1481175
—
ND
05
—
1481875
—
ND
Enumeration date
08/03/2020
Last updated
04/26/2021
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