| Goodman Addiction Services | |
|
1809 South Broadway Suite S. Minot ND 58701 | |
| (701) 852-3869 | |
| (701) 852-9024 |
| Full Name | Goodman Addiction Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1809 South Broadway Suite S., Minot, North Dakota |
| Authorized Official Name and Position | Dina Padilla Goodman (LAC/CEO) |
| Authorized Official Contact | 7018335767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodman Addiction Services 1809 South Broadway Suite. S Minot ND 58701 Ph: (701) 852-3869 | Goodman Addiction Services 1809 South Broadway Suite S. Minot ND 58701 Ph: (701) 852-3869 |
| NPI Number | 1073000469 |
|---|---|
| Provider Enumeration Date | 04/20/2018 |
| Last Update Date | 04/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073000469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1400 (North Dakota) | Primary |
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