Organization Name: | FAMILY INSTITUTE, PC |
NPI Number: | 1003832783 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | APRIL RAIN BRADLEY (PRESIDENT) |
Mailing Address: | 2100 S Columbia Rd Suite 202 Grand Forks |
State: | ND US |
Postal Code: | 582015895 |
Phone Number: | 7017721588 |
Fax Number: | 7017466077 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 12/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |