National Provider Identifier Database

MERCY RECOVERY CENTER RESIDENTIAL TREATMENT CENTER
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

MERCY RECOVERY CENTER RESIDENTIAL TREATMENT CENTER
1301 15TH AVE W
WILLISTON, ND58801-3821
Phone: 701-774-7401
Fax: 701-774-7479
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for MERCY RECOVERY CENTER RESIDENTIAL TREATMENT CENTER

NPI Number 1609992577
Legal business name
LBN
MERCY RECOVERY CENTER RESIDENTIAL TREATMENT CENTER
Authorized official KERRY MONSON - (VP FINANCE CFO)
Entity Organization
Organization subpart Yes
Enumeration date 03/22/2007
Last updated 10/03/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • ND License #: 1022
  • ND Other: 098917 BLUE CROSS OF ND

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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