Organization · Type 2 NPI
Goodclover, LLC
Substance Abuse Rehabilitation Facility · West Fargo, ND
NPI number
1184247975
Active
Practice location
405 Main Ave W Unit 4J
West Fargo, ND 58078-1665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
About NPI 1184247975
Goodclover, LLC's National Provider Identifier is 1184247975, issued on May 27, 2020. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in West Fargo, ND. The record was last updated on May 27, 2020.