| Poppy's Promise Llc | |
|
1615 Capitol Way Bismarck ND 58501-2218 | |
| (701) 204-7870 | |
| Not Available |
| Full Name | Poppy's Promise Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1615 Capitol Way, Bismarck, North Dakota |
| Authorized Official Name and Position | Lorena Kay Poppe (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 7012047870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poppy's Promise Llc 1615 Capitol Way Bismarck ND 58501-2218 Ph: (701) 204-7870 | Poppy's Promise Llc 1615 Capitol Way Bismarck ND 58501-2218 Ph: (701) 204-7870 |
| NPI Number | 1447789557 |
|---|---|
| Provider Enumeration Date | 06/12/2017 |
| Last Update Date | 07/08/2021 |
| Certification Date | 07/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447789557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
News Archive
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› Verified 5 days ago
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