Organization · Type 2 NPI

Good Road Recovery Center

Substance Abuse Rehabilitation Facility · Bismarck, ND

NPI number 1629544267 Active

Practice location

1308 Elbowood Ln
Bismarck, ND 58503-5712

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Meals Provider	174200000X	None listed
Lodging Provider	177F00000X	None listed
Case Management Agency	251B00000X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	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.

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NPI record

NPI: 1629544267
Entity type: Organization (Type 2)
Issued: Oct 22, 2018
Last updated: Oct 22, 2018
Status: Active
Subpart: Yes of Three Affiliated Tribes Central Finance

Other names

Three Affiliated Tribes Central Finance · other name

Authorized official

Sherry Michelle Baker, CPC
Billing Specialist
(701) 751-8260

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629544267

Good Road Recovery Center's National Provider Identifier is 1629544267, issued on Oct 22, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Bismarck, ND. The record was last updated on Oct 22, 2018.