RICHARD P STADTER PSYCHIATRIC CENTER LLC NPI 1831137389

NPI Information

RICHARD P STADTER PSYCHIATRIC CENTER, LLC is a psychiatric hospital in Grand Forks, ND. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. RICHARD P STADTER PSYCHIATRIC CENTER, LLC NPI is 1831137389. The provider is registered as an organization entity type.

The provider's business location address is:

1451 44TH AVE S STE A
GRAND FORKS, ND
ZIP 58201-434
Phone: (701) 772-2500
Fax: (701) 787-8996

The provider's authorized official is Thomas Peterson .
The authorized official title is President/ Chief Medical Officer and has the following contact phone number (701) 772-2500.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 6/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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