Provider Demographics
NPI:1326439480
Name:GRANT COUNTY SOCIAL SERVICE
Entity Type:Organization
Organization Name:GRANT COUNTY SOCIAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-622-3706
Mailing Address - Street 1:106 2ND AVE. NE
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:ND
Mailing Address - Zip Code:58529-0278
Mailing Address - Country:US
Mailing Address - Phone:701-622-3706
Mailing Address - Fax:701-622-3045
Practice Address - Street 1:106 2ND AVE NORTH EAST
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:ND
Practice Address - Zip Code:58529
Practice Address - Country:US
Practice Address - Phone:701-622-3706
Practice Address - Fax:701-622-3045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-11
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management