OrganizationActive
Dakota Renaissance, Inc.
NPI 1184171753 · Substance Abuse Rehabilitation Facility · Pettibone, ND
Provider details
- NPI number
- 1184171753
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Scharazard Gray, Director(813) 310-9346
- License
- 12015 (ND)
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 3rd Ave
# 44
Pettibone, ND 58475
Phone: (701) 273-6688
Fax: (888) 972-4098
Street-level locationGet directions
Mailing address
101 3rd Ave
Pettibone, ND 58475
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2016-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.