OrganizationActive
Transitional Living Center Inc
NPI 1255656765 · Substance Abuse Rehabilitation Facility · Devils Lake, ND
Provider details
- NPI number
- 1255656765
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Robert Spencer, Chief of Operations(701) 968-2646
- License
- 1215 (ND)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4399 88th Ave Ne
Devils Lake, ND 58301-8704
Phone: (701) 398-3031
Fax: (701) 398-3029
Approximate (ZIP-level) locationGet directions
Mailing address
7448 68th Ave Ne
Cando, ND 58324-9485
Registry dates
- Enumerated
- 2010-03-29
- Last updated
- 2010-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.