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2424 32nd Ave S Ste 103 Grand Forks ND 58201-6509 | |
| (701) 792-6700 | |
| (701) 757-0765 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 2424 32nd Ave S Ste 103, Grand Forks, North Dakota |
| Authorized Official Name and Position | Cindy Gaither (VP OF REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 6022488886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8444 N 90th St Ste 100 Scottsdale AZ 85258-4437 Ph: (480) 494-2497 | 2424 32nd Ave S Ste 103 Grand Forks ND 58201-6509 Ph: (701) 792-6700 |
| NPI Number | 1699487199 |
|---|---|
| Provider Enumeration Date | 12/16/2022 |
| Last Update Date | 02/10/2024 |
| Certification Date | 02/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699487199 | NPI | - | NPPES |
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