NPI 1699548214

Providence House Minot LLC

Organisation Substance Abuse Rehabilitation Facility Minot, ND

Practice location

Address: 415 Main St S, Minot, ND 58701-4414
Phone: (701) 838-3300
Mailing address: PO Box 1286, Watford City, ND 58854-1286

Authorised official

Name: Morgan Layne
Title: Executive Director
Phone: (701) 828-3300

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in North Dakota →

Substance Use Disorder Rehabilitation Hospital Unit

Hospital Units Taxonomy 276400000X

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Registry record

NPI: 1699548214
Entity type: Organization
NPI issued: 6 Nov 2023
Record last updated: 26 Jul 2024

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.