| Cass Clayintegrtaion Center Llc | |
|
2512 7th Ave S Ste 1 Fargo ND 58103-8747 | |
| (701) 730-9236 | |
| Not Available |
| Full Name | Cass Clayintegrtaion Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2512 7th Ave S Ste 1, Fargo, North Dakota |
| Authorized Official Name and Position | Kahiye Amin Amin (CEO) |
| Authorized Official Contact | 7017309236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cass Clayintegrtaion Center Llc 2512 7th Ave S Ste 1 Fargo ND 58103-8747 Ph: (701) 730-9236 | Cass Clayintegrtaion Center Llc 2512 7th Ave S Ste 1 Fargo ND 58103-8747 Ph: (701) 730-9236 |
| NPI Number | 1558112169 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Certification Date | 03/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558112169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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