Spirit Lake Tribe
NPI #1720152457 in Fort Totten, North Dakota
Provider Information
- NPI Number
- 1720152457
- Entity Type
- Organization
- Organization Name
- Spirit Lake Tribe
- Primary Specialty
- Case Management
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Oct 9, 2019
Practice Location
- Address
- 416 2ND AVENUE NORTH
- City
- Fort Totten
- State
- North Dakota
- ZIP Code
- 58335
- Phone
- (701) 766-1238
Authorized Official
- Name
- PEGGY L. CAVANAUGH
- Title
- TRIBAL CHAIRPERSON
- Phone
- (701) 381-2006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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