Organization
LIFE SKILLS AND TRANSITION 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
701 W 6TH ST, GRAFTON, ND 58237-1379
(701) 352-4564
(701) 352-4376
Mailing address
701 W 6TH ST, GRAFTON, ND 58237-1379
(701) 352-4564
(701) 352-4376
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30806
—
ND
Enumeration date
12/29/2006
Last updated
12/10/2020
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