| Sunrise Youth Services Inc | |
|
112 University Dr N Ste L140 Fargo ND 58102-4635 | |
| (701) 639-3356 | |
| Not Available |
| Full Name | Sunrise Youth Services Inc |
|---|---|
| Speciality | General Practice |
| Location | 112 University Dr N Ste L140, Fargo, North Dakota |
| Authorized Official Name and Position | Mason Andrew Peterson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7016393356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Youth Services Inc 112 University Dr N Ste L140 Fargo ND 58102-4635 Ph: (701) 639-3356 | Sunrise Youth Services Inc 112 University Dr N Ste L140 Fargo ND 58102-4635 Ph: (701) 639-3356 |
| NPI Number | 1609606805 |
|---|---|
| Provider Enumeration Date | 08/03/2024 |
| Last Update Date | 08/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609606805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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