| Easter Seals Goodwill Nd, Inc. | |
|
211 Collins Ave Mandan ND 58554-3106 | |
| (701) 663-6828 | |
| (701) 663-6859 |
| Full Name | Easter Seals Goodwill Nd, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 211 Collins Ave, Mandan, North Dakota |
| Authorized Official Name and Position | Catherine M Metz (COO/CFO) |
| Authorized Official Contact | 7016636828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Goodwill Nd, Inc. 211 Collins Ave Mandan ND 58554-3106 Ph: (701) 663-6828 | Easter Seals Goodwill Nd, Inc. 211 Collins Ave Mandan ND 58554-3106 Ph: (701) 663-6828 |
| NPI Number | 1972101343 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972101343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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