Organization
DAKOTA BOYS & GIRLS RANCH ASSOCIATION
Active
Other names
Dakota Boys Ranch Western Plains
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MORENO (CREDENTIALING)
(701) 364-2950
Entity
Organization
Contact information
Practice address
1227 N 35TH ST, BISMARCK, ND 58501-7722
(701) 858-0115
Mailing address
1227 N 35TH ST, BISMARCK, ND 58501-7722
(701) 858-0115
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12344
BLUE CROSS
ND
05
—
52146
—
ND
Enumeration date
10/26/2006
Last updated
05/05/2026
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