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304
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mandan, North Dakota
NPI 1235309063

304 is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Mandan, ND. 304 practices in Mandan, ND. The NPI Number for 304 is 1235309063 and holds a License No. (North Dakota).

The current practice location address for 304 is 304 11Th St Ne, Mandan, ND and can be reached out via phone at 701-663-1635.

Location: 304 11Th St Ne, Mandan, ND, 58554-3135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235309063
Provider Name
304
Credential
Provider Entity Type
Organization
Address
304 11Th St Ne, Mandan, ND, 58554-3135
Phone Number
701-663-1635
Fax Number
Provider Enumeration Date
03/07/2008
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003200006 05 ND
1455894 05 ND
institution
Provider Business Practice Location Address Details
Address
304 11Th St Ne
City
Mandan
State
North Dakota
Zip
58554-2140
Phone Number
701-663-1635
Fax Number
person
Provider Business Mailing Address Details
Address
304 11Th St Ne
City
Mandan
State
North Dakota
Zip
58554-2140
Phone Number
701-663-1635
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(North Dakota)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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