Organization
EAST CENTRAL CENTER FOR EXCEPTIONAL CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY K JOHNSON (BSMGR)
(701) 947-5015
Entity
Organization
Contact information
Practice address
16 S 8TH ST, NEW ROCKFORD, ND 58356-1520
(701) 947-5015
Mailing address
16 S 8TH ST, NEW ROCKFORD, ND 58356-1520
(701) 947-5015
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19012
—
ND
Enumeration date
04/12/2007
Last updated
08/22/2020
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