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Dakota Renaissance, Inc.
Substance Abuse Rehabilitation Facility in Pettibone, North Dakota
NPI 1184171753

Dakota Renaissance, Inc. is a Substance Abuse Rehabilitation Facility based in Pettibone, ND. Dakota Renaissance, Inc. practices in Pettibone, ND. The NPI Number for Dakota Renaissance, Inc. is 1184171753 and holds a License No. 12015 (North Dakota).

The current practice location address for Dakota Renaissance, Inc. is 101 3Rd Ave, Pettibone, ND and can be reached out via phone at 701-273-6688 and via fax at 888-972-4098.

Location: 101 3Rd Ave, Pettibone, ND, 58475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184171753
Provider Name
Dakota Renaissance, Inc.
Credential
Provider Entity Type
Organization
Address
101 3Rd Ave, Pettibone, ND, 58475
Phone Number
701-273-6688
Fax Number
888-972-4098
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 3Rd Ave
City
Pettibone
State
North Dakota
Zip
58475
Phone Number
701-273-6688
Fax Number
888-972-4098
person
Provider Business Mailing Address Details
Address
101 3Rd Ave
City
Pettibone
State
North Dakota
Zip
58475
Phone Number
701-273-6688
Fax Number
888-972-4098
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Research
Taxonomy
261QR1100X
License No.
12015 (North Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
12015 (North Dakota)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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