NPI | 1851056766 |
---|---|
Doing Business As | OPEN RANGE COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | KORI STOCKIE CEO 701-264-9049 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
1041C0700X Social Worker Clinical | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2021-11-04 |
Last Update Date | 2024-06-18 |