Spirit Lake Tribe
NPI #1083331649 in Fort Totten, North Dakota
Provider Information
- NPI Number
- 1083331649
- Entity Type
- Organization
- Organization Name
- Spirit Lake Tribe
- Primary Specialty
- Case Management
- Enumeration Date
- Oct 25, 2022
- Last Updated
- Oct 25, 2022
Practice Location
- Address
- 7184 HWY 57
- City
- Fort Totten
- State
- North Dakota
- ZIP Code
- 58335
- Phone
- (701) 766-4736
Authorized Official
- Name
- CARLA CARMONA
- Title
- PROGRAM MANAGER
- Phone
- (701) 766-4736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Non-emergency Medical Transport (VAN) |
| Case Management |
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