Providence House Minot LLC
NPI #1699548214 in Minot, North Dakota
Provider Information
- NPI Number
- 1699548214
- Entity Type
- Organization
- Organization Name
- Providence House Minot LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Nov 6, 2023
- Last Updated
- Jul 26, 2024
Practice Location
- Address
- 415 MAIN ST S
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58701-4414
- Phone
- (701) 838-3300
Authorized Official
- Name
- MORGAN LAYNE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (701) 828-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation, Substance Use Disorder Unit |
| Substance Abuse Rehabilitation Facility |
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