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Organization

SPIRIT LAKE TRIBE

Active
Other names
SLT Recovery and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDA S PELTIER (3RD PARTY BILLING MANAGER)
(701) 766-1667
Entity
Organization

Contact information

Practice address
7527 EPHRAIM HILL ROAD, FORT TOTTEN, ND 58335-0088
(701) 766-4285
(701) 766-1229
Mailing address
7527 EPHRAIM HILL ROAD, FORT TOTTEN, ND 58335-0088
(701) 766-4285
(701) 766-1229

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1041C0700X
Clinical Social Worker
814
ND

Other

Enumeration date
05/29/2007
Last updated
09/23/2021
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