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2424 32nd Ave S Ste 103 Grand Forks ND 58201-6509 | |
(701) 792-6700 | |
(701) 757-0765 |
Full Name | |
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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 |
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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 |
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Provider Enumeration Date | 12/16/2022 |
Last Update Date | 02/10/2024 |
Certification Date | 02/10/2024 |
Identifier | Type | State | Issuer |
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1699487199 | NPI | - | NPPES |
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