MEDICARE: CENTER FOR SOLUTIONS, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	APPLIED FOR	ND

General Provider Information

NPI Number	:	1780840223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR SOLUTIONS, P.C.

Provider Business Mailing Address
First Line	:	1820 WALNUT ST E
Second Line	:	SUITE #7
City	:	DEVILS LAKE
State	:	ND
Zip	:	58301-3411
Country	:	US
Telephone Number	:	701-665-2140
Fax Number	:	701-665-2153

Provider Business Practice Location Address
First Line	:	1820 WALNUT ST E
Second Line	:	SUITE #7
City	:	DEVILS LAKE
State	:	ND
Zip	:	58301-3411
Country	:	US
Telephone Number	:	701-665-2140
Fax Number	:	701-665-2153

Authorized Official
Title or Position	:	CHIEF OF OPERATIONS
Name	:	MR. ROBERT ALAN SPENCER
Credential	:
Telephone Number	:	701-665-2146

Provider Enumeration Date	:	08/04/2008
Last Update Date	:	10/08/2012

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