| Centre, Inc. | |
|
123 15th St N Fargo ND 58102-4220 | |
| (701) 373-8356 | |
| (701) 893-9165 |
| Full Name | Centre, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 123 15th St N, Fargo, North Dakota |
| Authorized Official Name and Position | Joshua Helmer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7013738312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centre, Inc. 123 15th St N P. O. Box 1269 Fargo ND 58102-4220 Ph: (701) 373-8356 | Centre, Inc. 123 15th St N Fargo ND 58102-4220 Ph: (701) 373-8356 |
| NPI Number | 1326469883 |
|---|---|
| Provider Enumeration Date | 12/30/2013 |
| Last Update Date | 12/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326469883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1077 (North Dakota) | Primary |
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