| Listen | |
|
1407 24th Ave S 100 Grand Forks ND 58201-6761 | |
| (701) 746-7840 | |
| (701) 795-1900 |
| Full Name | Listen |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1407 24th Ave S, Grand Forks, North Dakota |
| Authorized Official Name and Position | Christina Potts (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7017467840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Listen 1407 24th Ave S 100 Grand Forks ND 58201-6761 Ph: (701) 746-7840 | Listen 1407 24th Ave S 100 Grand Forks ND 58201-6761 Ph: (701) 746-7840 |
| NPI Number | 1912359886 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 04/08/2021 |
| Certification Date | 04/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912359886 | NPI | - | NPPES |
| 35366 | Medicaid | ND | |
| 1456350 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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