Organization Name: | DAKOTA FAMILY SERVICES |
NPI Number: | 1023200896 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONNIE F IREY (OFFICE MANAGER) |
Mailing Address: | 1227 N 35th St Bismarck |
State: | ND US |
Postal Code: | 585017722 |
Phone Number: | 7018376508 |
Fax Number: | 7018581839 |
NPI Enumeration Date: | 08/15/2007 |
NPI Last Update Date: | 08/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |