NORTH DAKOTA YOUTH CORRECTIONAL CENTER is a clinic center in Mandan, ND. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NORTH DAKOTA YOUTH CORRECTIONAL CENTER NPI is 1790080356. The provider is registered as an organization entity type.
The provider's business location address is:
701 16TH AVE SW
MANDAN, ND
ZIP 58554-800
Phone: (701) 667-1400
Fax: (701) 667-1414
The provider's authorized official is Ron Crouse .
The authorized official title is Director and has the following contact phone number (701) 667-1401.
The CLIA number assigned to this NPI record is 35D1062169 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/12/2011 and was last updated on 7/13/2011.