| Psych 180 Pllc | |
|
1665 Prairie Creek Rd Dickinson ND 58601-2997 | |
| (208) 794-5314 | |
| Not Available |
| Full Name | Psych 180 Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1665 Prairie Creek Rd, Dickinson, North Dakota |
| Authorized Official Name and Position | Kelly Chevalier (MEMBER) |
| Authorized Official Contact | 2087945314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych 180 Pllc 1665 Prairie Creek Rd Dickinson ND 58601-2997 Ph: (208) 794-5314 | Psych 180 Pllc 1665 Prairie Creek Rd Dickinson ND 58601-2997 Ph: (208) 794-5314 |
| NPI Number | 1528808573 |
|---|---|
| Provider Enumeration Date | 05/28/2024 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528808573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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