OrganizationActive
Enable, Inc.
NPI 1619013430 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bismarck, ND
Provider details
- NPI number
- 1619013430
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jon Larson, Executive Director(701) 255-2851
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1836 Raven Dr
Bismarck, ND 58501-1223
Phone: (701) 255-2851
Fax: (701) 258-4765
Approximate (ZIP-level) locationGet directions
Mailing address
1836 Raven Dr
Bismarck, ND 58501-1223
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.