Family Recovery Home

NPI 1730141763 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1730141763
Enumeration Date 04/05/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DIANA DIANA
Position EXECUTIVE DIRECTOR
Phone (701) 774-9625
Fax (701) 572-4106
Practice Location
126 W BROADWAY
WILLISTON ND, 58801-6053, US
Phone (701) 774-9625
Fax (701) 572-4106
Business Location
126 W BROADWAY
PO BOX 1202
WILLISTON ND, 58802-1202, US
Phone (701) 774-9625
Fax (701) 572-4106
Toxanomy
Taxonomy Code 324500000X
License State
License Number
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According to our database, Family Recovery Home NPI is 1730141763, taxonomy code is 324500000X Family Recovery Home physically located at 126 W Broadway, Williston ND, 58801-6053. NPI Number 1033115704 has the healthcare provider type.

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1730141763 NPI number is provided on an as is basis without warranty of any kind. 1730141763 is maintained by the National Plan & Provider Enumeration System. The contents of Family Recovery Home are for informational purposes only.