Pride Manchester INC.
Residential Treatment Facility, Emotionally Disturbed Children in Bismarck, ND. Organization (NPI-2).
NPI number1346351475
StatusActive
Last updated in NPPESJul 1, 2014
Details
- NPI
- 1346351475
- Entity type
- Organization (NPI-2)
- Legal business name
- Pride Manchester INC.
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 1, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | Yes |
Practice location
1200 Missouri AveBismarck, ND 58504-5264
Phone 701-258-7838 · Fax 701-258-3735
Mailing address
1200 Missouri AveBismarck, ND 58504-5264
Phone 701-258-7838 · Fax 701-258-3735
Authorized official
Darla Roggenbuck
Financial Coordinator
7012587838
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