Organization
WEST CENTRAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE MASSINGILL (SKIO)
(701) 818-8689
Entity
Organization
Contact information
Practice address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
(701) 328-8888
Mailing address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
(701) 328-8888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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