OrganizationActive
Supportive Outreach Services
NPI 1578322293 · Case Management Agency · Bismarck, ND
Provider details
- NPI number
- 1578322293
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Vernelle Spencer, Lmsw/Owner(701) 226-0621
Specialties & taxonomies
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
3333 E Broadway Ave Ste 1214
Bismarck, ND 58501-3395
Phone: (701) 226-0621
Approximate (ZIP-level) locationGet directions
Mailing address
3333 E Broadway Ave Ste 1214
Bismarck, ND 58501-3395
Registry dates
- Enumerated
- 2024-03-15
- Last updated
- 2024-03-15
- Certified
- 2024-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.