NPI 1184990608

Standing Rock Early Childhood Tracking Program

Organisation Early Intervention Provider Agency Ft. Yates, ND

Practice location

Address: 001 Standing Rock Avenue, Ft. Yates, ND 58538
Phone: (701) 854-3678
Mailing address: PO Box 697, Ft. Yates, ND 58538

Authorised official

Name: George D Starr
Title: Director
Phone: (701) 854-3678

Registered specialties (4)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 551 (ND)

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Registry record

NPI: 1184990608
Entity type: Organization
NPI issued: 29 Mar 2012
Record last updated: 29 Mar 2012

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.