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COMMUNITY VIOLENCE INTERVENTION CENTER NPI 1346781747


NPI Information

NPI: 1346781747
Provider Name: COMMUNITY VIOLENCE INTERVENTION CENTER

Other Name: CVIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
211 S 4TH ST
GRAND FORKS, ND
ZIP 58201
Phone: (701) 746-0405
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COMMUNITY VIOLENCE INTERVENTION CENTER is a mental health (including community mental health center) clinic center in Grand Forks, ND. COMMUNITY VIOLENCE INTERVENTION CENTER NPI is 1346781747. The provider is registered as an organization entity type.
The provider Other Name Is Cvic.

The provider's business location address is:

211 S 4TH ST
GRAND FORKS, ND
ZIP 58201-737
Phone: (701) 746-0405
Fax: (701) 746-5918

The provider's authorized official is Kristi Hall-jiran .
The authorized official title is Executive Director and has the following contact phone number (701) 746-0405.

The enumeration date for this NPI number is 3/17/2017 and was last updated on 9/25/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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