| Sanford Health Dakota Children's Advocacy | |
|
200 E Main Ave Ste 301 Bismarck ND 58501-3857 | |
| (701) 323-5626 | |
| Not Available |
| Full Name | Sanford Health Dakota Children's Advocacy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 200 E Main Ave Ste 301, Bismarck, North Dakota |
| Authorized Official Name and Position | Craig Lambrecht (CEO) |
| Authorized Official Contact | 7013236000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Health Dakota Children's Advocacy Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 333-1000 | Sanford Health Dakota Children's Advocacy 200 E Main Ave Ste 301 Bismarck ND 58501-3857 Ph: (701) 323-5626 |
| NPI Number | 1942626395 |
|---|---|
| Provider Enumeration Date | 03/10/2014 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942626395 | NPI | - | NPPES |
| 56294 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 40241598123 (North Dakota) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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