| Holistic Recovery Training Services Llc | |
|
312 2nd Ave Sw Jamestown ND 58401-4177 | |
| (701) 680-5207 | |
| Not Available |
| Full Name | Holistic Recovery Training Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 312 2nd Ave Sw, Jamestown, North Dakota |
| Authorized Official Name and Position | Victoria Gore (OWNER) |
| Authorized Official Contact | 7018405534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Recovery Training Services Llc 207 2nd Ave S Eldridge ND 58401-7434 Ph: () - | Holistic Recovery Training Services Llc 312 2nd Ave Sw Jamestown ND 58401-4177 Ph: (701) 680-5207 |
| NPI Number | 1053071886 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 01/18/2022 |
| Certification Date | 01/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053071886 | NPI | - | NPPES |
| 1477765 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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