Provider Demographics
NPI:1861804361
Name:WALSH COUNTY SOCIAL SERVICES
Entity type:Organization
Organization Name:WALSH COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY SOCIAL SERVICE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TWILA
Authorized Official - Middle Name:HARTJE
Authorized Official - Last Name:NOVAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-352-5111
Mailing Address - Street 1:516 COOPER AVE
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:ND
Mailing Address - Zip Code:58237-1512
Mailing Address - Country:US
Mailing Address - Phone:701-352-5111
Mailing Address - Fax:701-352-5060
Practice Address - Street 1:516 COOPER AVE
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:ND
Practice Address - Zip Code:58237-1512
Practice Address - Country:US
Practice Address - Phone:701-352-5111
Practice Address - Fax:701-352-5060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND50760251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management