Organization
THE ENRICHMENT GARDEN
Active
Other names
Children's Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MATTHEW BRY (PRESIDENT)
(701) 258-1569
Entity
Organization
Contact information
Practice address
1138 N 3RD ST, BISMARCK, ND 58501-3556
(701) 258-1569
(701) 223-1669
Mailing address
PO BOX 2536, BISMARCK, ND 58502-2536
(701) 258-1569
(701) 223-1669
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
376
ND
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027311
BLUE CROSS BLUE SHIELD
ND
01
—
027312
BLUE CROSS BLUE SHIELD
ND
01
—
12168
BLUE CROSS BLUE SHIELD
ND
05
—
1458770
—
ND
01
—
25799
BLUE CROSS BLUE SHIELD
ND
05
—
51207
—
ND
05
—
55053
—
ND
05
—
59160
—
ND
05
—
59243
—
ND
01
—
599001
BLUE CROSS BLUE SHIELD
ND
05
—
7770280
—
ND
Enumeration date
03/13/2007
Last updated
10/30/2023
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