| Kaleidoscope Behavioral Health | |
|
511 2nd St W Ste B Williston ND 58801-5907 | |
| (701) 580-0846 | |
| Not Available |
| Full Name | Kaleidoscope Behavioral Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 511 2nd St W Ste B, Williston, North Dakota |
| Authorized Official Name and Position | Sarah Anderson (THERAPIST) |
| Authorized Official Contact | 7015800846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Behavioral Health 511 2nd St W Ste B Williston ND 58801-5907 Ph: (701) 580-0846 | Kaleidoscope Behavioral Health 511 2nd St W Ste B Williston ND 58801-5907 Ph: (701) 580-0846 |
| NPI Number | 1780165415 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 08/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780165415 | NPI | - | NPPES |
| 1453283 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4168 (North Dakota) | Primary |
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