Organization
SUMMIT PRAIRIE RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DALESSANDRO (MANAGING PARTNER)
(732) 580-1732
Entity
Organization
Contact information
Practice address
7785 SAINT GERTRUDE AVE, RALEIGH, ND 58564-4103
(701) 597-3419
Mailing address
7785 SAINT GERTRUDE AVE, RALEIGH, ND 58564-4103
(701) 597-3419
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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