Provider Demographics
NPI:1497530430
Name:ADAPT ADDICTION & BEHAVIORAL HEALTH, INC.
Entity Type:Organization
Organization Name:ADAPT ADDICTION & BEHAVIORAL HEALTH, INC.
Other - Org Name:ADAPT ADDICTION & BEHAVIORAL HEALTH, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER, LCAC, SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STRAND
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:701-390-8179
Mailing Address - Street 1:1720 BURNT BOAT DR STE 203
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0801
Mailing Address - Country:US
Mailing Address - Phone:701-255-3717
Mailing Address - Fax:
Practice Address - Street 1:1720 BURNT BOAT DR STE 203
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0801
Practice Address - Country:US
Practice Address - Phone:701-255-3717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilityGroup - Single Specialty