Organization
CATHOLIC CHARITIES NORTH DAKOTA
Active
Other names
CCND Bismarck ND
Organization subpart
No
Provider details
NPI number
Authorized official
DELRAE AMANN (CREDENTIALING REPRESENTATIVE)
(701) 371-6166
Entity
Organization
Contact information
Practice address
5201 BISHOPS BLVD S STE B, FARGO, ND 58104-7605
(701) 356-7993
(701) 866-3015
Mailing address
5201 BISHOPS BLVD S STE B, FARGO, ND 58104-7605
(701) 356-7993
(701) 866-3015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58504
LOCATION ZIP CODE
ND
Enumeration date
10/21/2022
Last updated
10/21/2022
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