Southeast Human Service Center | |
2624 9th Ave S Fargo ND 58103-2350 | |
(701) 298-4500 | |
(701) 298-4400 |
Full Name | Southeast Human Service Center |
---|---|
Speciality | Community/behavioral Health |
Location | 2624 9th Ave S, Fargo, North Dakota |
Authorized Official Name and Position | Stenseth Jeff (DIRECTOR) |
Authorized Official Contact | 7013284578 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southeast Human Service Center 2624 9th Ave S Fargo ND 58103-2350 Ph: (701) 298-4500 | Southeast Human Service Center 2624 9th Ave S Fargo ND 58103-2350 Ph: (701) 298-4500 |
NPI Number | 1295256386 |
---|---|
Provider Enumeration Date | 06/29/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295256386 | NPI | - | NPPES |
ND249518 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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