OrganizationActive
Ccri, Inc
NPI 1295870699 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Moorhead, MN
Provider details
- NPI number
- 1295870699
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Shannon Bock, Executive Director
Practice location
2903 15th St S
Moorhead, MN 56560-5111
Phone: (218) 236-6730
Fax: (218) 236-1481
Mailing address
2903 15th St S
Moorhead, MN 56560-5111
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2014-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.