Path Trauma And Stress Clinic | |
1202 Westrac Dr S Ste 400 Fargo ND 58103-2356 | |
(701) 280-9545 | |
Not Available |
Full Name | Path Trauma And Stress Clinic |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1202 Westrac Dr S Ste 400, Fargo, North Dakota |
Authorized Official Name and Position | Karen Baukol (HUMAN RESOURCE DIRECTOR) |
Authorized Official Contact | 7015516318 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Path Trauma And Stress Clinic 1202 Westrac Dr S Ste 400 Fargo ND 58103-2356 Ph: (701) 280-9545 | Path Trauma And Stress Clinic 1202 Westrac Dr S Ste 400 Fargo ND 58103-2356 Ph: (701) 280-9545 |
NPI Number | 1982117602 |
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Provider Enumeration Date | 11/16/2017 |
Last Update Date | 05/13/2020 |
Certification Date | 05/13/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982117602 | NPI | - | NPPES |
1459676 | Medicaid | ND | |
1472885 | Medicaid | ND |
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