Organization
SUPPORTIVE OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNELLE SPENCER (LMSW/OWNER)
(701) 226-0621
Entity
Organization
Contact information
Practice address
3333 E BROADWAY AVE STE 1214, BISMARCK, ND 58501-3395
(701) 226-0621
Mailing address
3333 E BROADWAY AVE STE 1214, BISMARCK, ND 58501-3395
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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