Provider Demographics
NPI:1861703712
Name:CLAY COUNTY SOCIAL SERVICES
Entity type:Organization
Organization Name:CLAY COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-299-7134
Mailing Address - Street 1:715 11TH ST N STE 502
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-2000
Mailing Address - Country:US
Mailing Address - Phone:218-299-5200
Mailing Address - Fax:218-299-7515
Practice Address - Street 1:715 11TH ST N STE 502
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-2000
Practice Address - Country:US
Practice Address - Phone:218-299-5200
Practice Address - Fax:218-299-7515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health