Organization
NORTH DAKOTA YOUTH CORRECTIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON CROUSE (DIRECTOR)
(701) 667-1401
Entity
Organization
Contact information
Practice address
701 16TH AVE SW, MANDAN, ND 58554-5800
(701) 667-1400
(701) 667-1414
Mailing address
701 16TH AVE SW, MANDAN, ND 58554-5800
(701) 667-1400
(701) 667-1414
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2011
Last updated
07/13/2011
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