Organization
LEWIS GOOD HOUSE
Active
Other names
Chemical Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ISHAK (DIRECTOR)
(701) 221-1764
Entity
Organization
Contact information
Practice address
3315 UNIVERSITY DR, WELLNESS CENTER, BISMARCK, ND 58504
(701) 221-1747
Mailing address
3315 UNIVERSITY DR, WELLNESS CENTER, BISMARCK, ND 58504
(701) 221-1747
(701) 530-0645
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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