National Provider Identifier Database

FAMILY RECOVERY HOME
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

FAMILY RECOVERY HOME
126 W BROADWAY
WILLISTON, ND58801-6053
Phone: 701-774-9625
Fax: 701-572-4106
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for FAMILY RECOVERY HOME

NPI Number 1730141763
Legal business name
LBN
FAMILY RECOVERY HOME
Authorized official DIANA ROY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/05/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • ND Other: 01280003 B LUE CROSS

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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