| Foundations Mental Health Clinic | |
|
4040 42nd St S Ste N Fargo ND 58104-4352 | |
| (701) 388-5825 | |
| Not Available |
| Full Name | Foundations Mental Health Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4040 42nd St S Ste N, Fargo, North Dakota |
| Authorized Official Name and Position | Jordan Wiedmann (OWNER) |
| Authorized Official Contact | 7013885825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Mental Health Clinic 4040 42nd St S Ste N Fargo ND 58104-4352 Ph: () - | Foundations Mental Health Clinic 4040 42nd St S Ste N Fargo ND 58104-4352 Ph: (701) 388-5825 |
| NPI Number | 1932922085 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932922085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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