| Advocates For Change | |
|
417 Main Ave Ste 401 Fargo ND 58103-1956 | |
| (701) 289-7676 | |
| Not Available |
| Full Name | Advocates For Change |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 417 Main Ave Ste 401, Fargo, North Dakota |
| Authorized Official Name and Position | Joshua Landis (FOUNDER) |
| Authorized Official Contact | 7012897676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocates For Change 417 Main Ave Ste 401 Fargo ND 58103-1956 Ph: (701) 289-7676 | Advocates For Change 417 Main Ave Ste 401 Fargo ND 58103-1956 Ph: (701) 289-7676 |
| NPI Number | 1831965748 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 2466894266 |
|---|---|
| Medicare Enrollment ID | O20240524001303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831965748 | NPI | - | NPPES |
| Provider Name | Allie Catherine Skjonsberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932697786 PECOS PAC ID: 3476899345 Enrollment ID: I20190114002406 |
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