Organization
PRIDE INC
Active
Parent organization
PRIDE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIDE INC
Authorized official
JAMIE J STAIR TESSNESS (SENIOR ACCOUNTANT)
(701) 712-5125
Entity
Organization
Contact information
Practice address
1200 MISSOURI AVE, BISMARCK, ND 58504-5264
(701) 712-5125
Mailing address
1200 MISSOURI AVE, BISMARCK, ND 58504-5264
(701) 712-5125
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039-DD
—
ND
Enumeration date
02/03/2021
Last updated
02/03/2021
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