Organization Name: | LIFE MANAGEMENT RESOURCES |
NPI Number: | 1104089648 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARYJANE BLANCHFIELD (CEO) |
Mailing Address: | 400 12th Ave Ne Devils Lake |
State: | ND US |
Postal Code: | 583012712 |
Phone Number: | 7016655433 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2008 |
NPI Last Update Date: | 07/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |