Organization
ANNE CARLSEN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM EISSINGER (CEO)
(701) 952-5187
Entity
Organization
Contact information
Practice address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(701) 252-3850
Mailing address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(701) 252-3850
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86600
—
ND
Enumeration date
01/27/2011
Last updated
02/19/2021
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