DAKOTA RENAISSANCE, INC. – NPI #1184171753
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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

DAKOTA RENAISSANCE, INC. is a substance abuse rehabilitation facility located in PETTIBONE, ND. NPPES has assigned the NPI number 1184171753 to DAKOTA RENAISSANCE, INC. on September 01, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAKOTA RENAISSANCE, INC. below.

NPI Profile for
DAKOTA RENAISSANCE, INC.

NPI Number
1184171753
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DAKOTA RENAISSANCE, INC.
Primary location
101 3RD AVE
# 44
PETTIBONE, ND 58475
Phone: (701) 273-6688 Fax: (888) 972-4098
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SCHARAZARD GRAY
DIRECTOR
Phone: (813) 310-9346
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 ND 12015
261QR1100X
- Clinic/Center / Research		 ND 12015

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.