| Fargo Dakota Family Services | |
|
7151 15th St S Fargo ND 58104 | |
| (701) 837-6508 | |
| (701) 858-1839 |
| Full Name | Fargo Dakota Family Services |
|---|---|
| Speciality | Clinic/center |
| Location | 7151 15th St S, Fargo, North Dakota |
| Authorized Official Name and Position | Shondell Gantzer (FINANCIAL SERVICES MANAGER) |
| Authorized Official Contact | 7018574232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fargo Dakota Family Services Po Box 5007 Minot ND 58702-5007 Ph: (701) 837-6508 | Fargo Dakota Family Services 7151 15th St S Fargo ND 58104 Ph: (701) 837-6508 |
| NPI Number | 1578755344 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 01/21/2022 |
| Certification Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578755344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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