Dakota Renaissance, Inc
Dakota Renaissance, Inc is a Research Clinic/Center in Pettibone, North Dakota. Licensed in North Dakota. Registered with an NPI since 2016.
- Licensed in
- ND
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
101 3rd Ave # 44Pettibone, ND 58475
Phone: (701) 273-6688
Fax: (888) 972-4098
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 12015 (ND) |
|---|---|
| Research Clinic/Center | Taxonomy 261QR1100X · Licence 12015 (ND) |
Record details
| NPI number | 1184171753 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Scharazard Gray — Director · (813) 310-9346 |
| NPI enumerated | September 1, 2016 |
| Last updated in NPPES | September 1, 2016 |
| Mailing address | 101 3rd Ave, P.O. Box 44, Pettibone, ND 58475 |