Organization
ELIBRIUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEMOTO (CO OWNER)
(818) 671-7085
Entity
Organization
Contact information
Practice address
828 COOPER AVE, GRAFTON, ND 58237-1539
(904) 523-8875
Mailing address
828 COOPER AVE, GRAFTON, ND 58237-1539
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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