Organization
GOOD ROAD RECOVERY CENTER
Active
Parent organization
THREE AFFILIATED TRIBES CENTRAL FINANCE
Other names
Three Affiliated Tribes Central Finance
Organization subpart
Yes
Provider details
NPI number
Legal business name
THREE AFFILIATED TRIBES CENTRAL FINANCE
Authorized official
SHERRY MICHELLE BAKER CPC (BILLING SPECIALIST)
(701) 751-8260
Entity
Organization
Contact information
Practice address
1308 ELBOWOOD LN, BISMARCK, ND 58503-5712
(701) 751-8260
Mailing address
1308 ELBOWOOD LN, BISMARCK, ND 58503-5712
(701) 751-8260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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