| Forest River Counseling Pc | |
|
3523 45th St S Fargo ND 58104-8962 | |
| (701) 793-5400 | |
| Not Available |
| Full Name | Forest River Counseling Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3523 45th St S, Fargo, North Dakota |
| Authorized Official Name and Position | Roberta Pytlik (PRESIDENT) |
| Authorized Official Contact | 7017935400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest River Counseling Pc 3523 45th St S Fargo ND 58104-8962 Ph: (701) 793-5400 | Forest River Counseling Pc 3523 45th St S Fargo ND 58104-8962 Ph: (701) 793-5400 |
| NPI Number | 1043900731 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043900731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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