| Supportive Outreach Services | |
|
3333 E Broadway Ave Ste 1214 Bismarck ND 58501-3395 | |
| (701) 226-0621 | |
| Not Available |
| Full Name | Supportive Outreach Services |
|---|---|
| Speciality | Case Management |
| Location | 3333 E Broadway Ave Ste 1214, Bismarck, North Dakota |
| Authorized Official Name and Position | Vernelle Spencer (LMSW/OWNER) |
| Authorized Official Contact | 7012260621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Outreach Services 3333 E Broadway Ave Ste 1214 Bismarck ND 58501-3395 Ph: () - | Supportive Outreach Services 3333 E Broadway Ave Ste 1214 Bismarck ND 58501-3395 Ph: (701) 226-0621 |
| NPI Number | 1578322293 |
|---|---|
| Provider Enumeration Date | 03/15/2024 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578322293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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