Organization Name: | SACAJAWEA SUBSTANCE ABUSE COUNSELING AND DRUG TESTING CENTER |
NPI Number: | 1043451370 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAN S KUHN (CLINICAL DIRECTOR) |
Mailing Address: | 112 3rd Street West Suite 301 Dickinson |
State: | ND US |
Postal Code: | 58601 |
Phone Number: | 7014839150 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2009 |
NPI Last Update Date: | 03/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 1592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |