NPI 1184247975

Goodclover, LLC

Organisation Substance Abuse Rehabilitation Facility West Fargo, ND

Practice location

Address: 405 Main Ave W Unit 4j, West Fargo, ND 58078-1665
Phone: (701) 248-0818

Authorised official

Name: Jennifer Landphere
Title: Owner
Phone: (707) 248-0818

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in North Dakota →

Children's Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 3245S0500X

Registry record

NPI: 1184247975
Entity type: Organization
NPI issued: 27 May 2020
Record last updated: 27 May 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.