Organization
THE FRED AND CLARA ECKERT FOUNDATION FOR CHILDREN
Active
Other names
Eckert
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDA CASTILLO (ADMIN)
(701) 572-6181
Entity
Organization
Contact information
Practice address
719 EAST 11TH STREET, WILLISTON, ND 58801
(701) 572-7262
Mailing address
PO BOX 2291, WILLISTON, ND 58802-2291
(701) 577-0270
(701) 577-0271
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50705
—
ND
Enumeration date
02/15/2007
Last updated
06/26/2024
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