Provider Demographics
NPI: | 1730237231 |
---|---|
Name: | CONNECTIONS |
Entity type: | Organization |
Organization Name: | CONNECTIONS |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SHEILA |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | SARTWELL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LCSW |
Authorized Official - Phone: | 701-532-1145 |
Mailing Address - Street 1: | 550 13TH AVE E |
Mailing Address - Street 2: | SUITE 100 |
Mailing Address - City: | WEST FARGO |
Mailing Address - State: | ND |
Mailing Address - Zip Code: | 58078-3339 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 701-532-1145 |
Mailing Address - Fax: | 701-532-2128 |
Practice Address - Street 1: | 2530 20TH AVE S |
Practice Address - Street 2: | |
Practice Address - City: | MOORHEAD |
Practice Address - State: | MN |
Practice Address - Zip Code: | 56560-5918 |
Practice Address - Country: | US |
Practice Address - Phone: | 218-233-8657 |
Practice Address - Fax: | 701-532-2128 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-01-08 |
Last Update Date: | 2017-02-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services |