Organization
AMACHI MENTORING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA BERGSRUD (DIRECTOR)
(701) 662-6767
Entity
Organization
Contact information
Practice address
414 4TH AVE NE, DEVILS LAKE, ND 58301-2458
(701) 662-6767
Mailing address
414 4TH AVE NE, DEVILS LAKE, ND 58301-2458
(701) 662-6767
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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