Organization
ANNE CARLSEN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN D SYVERSON (CFO)
(701) 269-8166
Entity
Organization
Contact information
Practice address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(800) 568-5175
Mailing address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85522
—
ND
Enumeration date
03/09/2021
Last updated
03/09/2021
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