NPI 1114527322

4th Corporaiton

Organisation Community/Behavioral Health Agency New Rockford, ND

Practice location

Address: 1006 2nd Avenue North, New Rockford, ND 58356
Phone: (701) 947-2147
Mailing address: 120 11th Street North, New Rockford, ND 58356

Authorised official

Name: Kodi Keller
Title: Executive Director
Phone: (701) 947-2147

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in North Dakota →

Registry record

NPI: 1114527322
Entity type: Organization
NPI issued: 27 Oct 2020
Record last updated: 27 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.