National Provider Identifier Database

ND TEEN CHALLENGECHRIST CENTERED TREATMENT PROGRAM
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

ND TEEN CHALLENGECHRIST CENTERED TREATMENT PROGRAM
1406 2ND ST NW
MANDAN, ND58554-4904
Phone: 701-667-2131
Fax: 701-663-3494
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for ND TEEN CHALLENGECHRIST CENTERED TREATMENT PROGRAM

NPI Number 1871795526
Legal business name
LBN
ND TEEN CHALLENGECHRIST CENTERED TREATMENT PROGRAM
Authorized official DAVID SJOSTROM - (DIRECTOR OF PROGRAMMING)
Entity Organization
Organization subpart No
Enumeration date 06/04/2007
Last updated 08/14/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • ND License #: 11856

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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