Transitional Living Center Inc

NPI 1255656765 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1255656765
Enumeration Date 03/29/2010
Last Updated 03/29/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROBERT ALAN ROBERT
Position CHIEF OF OPERATIONS
Phone (701) 398-3031
Fax (701) 398-3029
Practice Location
4399 88TH AVE NE
DEVILS LAKE ND, 58301-8704, US
Phone (701) 398-3031
Fax (701) 398-3029
Business Location
7448 68TH AVE NE
CANDO ND, 58324-9485, US
Phone (701) 968-2646
Fax (701) 968-2650
Toxanomy
Taxonomy Code 324500000X
License State North Dakota
License Number 1215
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According to our database, Transitional Living Center Inc NPI is 1255656765, taxonomy code is 324500000X and license number is 1215, license state is located at North Dakota. Transitional Living Center Inc physically located at 4399 88th Ave Ne, Devils Lake ND, 58301-8704. NPI Number 1033115704 has the healthcare provider type.

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1255656765 NPI number is provided on an as is basis without warranty of any kind. 1255656765 is maintained by the National Plan & Provider Enumeration System. The contents of Transitional Living Center Inc are for informational purposes only.