Organization
ND TEEN CHALLENGECHRIST CENTERED TREATMENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ROLLAND SJOSTROM (DIRECTOR OF PROGRAMMING)
(701) 667-2131
Entity
Organization
Contact information
Practice address
1406 2ND ST NW, MANDAN, ND 58554-4904
(701) 667-2131
(701) 663-3494
Mailing address
1406 2ND ST NW, MANDAN, ND 58554-4904
(701) 667-2131
(701) 663-3494
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
11856
ND
Other
Enumeration date
06/04/2007
Last updated
08/14/2008
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