| Abundant Grace Recovery | |
|
623 Main St Williston ND 58801-5317 | |
| (701) 641-0313 | |
| Not Available |
| Full Name | Abundant Grace Recovery |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 623 Main St, Williston, North Dakota |
| Authorized Official Name and Position | Shonda Stivers (OWNER/LMAC) |
| Authorized Official Contact | 7016410313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Grace Recovery 623 Main St Williston ND 58801-5317 Ph: (701) 641-0313 | Abundant Grace Recovery 623 Main St Williston ND 58801-5317 Ph: (701) 641-0313 |
| NPI Number | 1326855669 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326855669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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