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Goodclover, Llc
Children's Substance Abuse Rehabilitation Facility in West Fargo, North Dakota
NPI 1184247975

Goodclover, Llc is a Children's Substance Abuse Rehabilitation Facility based in West Fargo, ND and is specialized in Substance Abuse Treatment, Children. Goodclover, Llc practices in West Fargo, ND. The NPI Number for Goodclover, Llc is 1184247975 and holds a License No. (North Dakota).

The current practice location address for Goodclover, Llc is 405 Main Ave W Unit 4J, West Fargo, ND and can be reached out via phone at 701-248-0818.

Location: 405 Main Ave W Unit 4J, West Fargo, ND, 58078-1665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184247975
Provider Name
Goodclover, Llc
Credential
Provider Entity Type
Organization
Address
405 Main Ave W Unit 4J, West Fargo, ND, 58078-1665
Phone Number
701-248-0818
Fax Number
Provider Enumeration Date
05/27/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
405 Main Ave W Unit 4J
City
West Fargo
State
North Dakota
Zip
58078-1665
Phone Number
701-248-0818
Fax Number
person
Provider Business Mailing Address Details
Address
405 Main Ave W Unit 4J
City
West Fargo
State
North Dakota
Zip
58078-1665
Phone Number
701-248-0818
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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