Organization Name: | CLINICAL CONSULTING P.C. |
NPI Number: | 1063813053 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLOTTE FERRELL (PRESIDENT) |
Mailing Address: | 322 Main St Suite 104 Williston |
State: | ND US |
Postal Code: | 588015304 |
Phone Number: | 7016516951 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2014 |
NPI Last Update Date: | 09/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | R29630 |
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: |