IGNITING YOUR CHANGE

NPI # 

Practice Address:

1128 Westrac Dr S Ste A

Fargo, ND, 58103-8729

Practice Phone:

701-696-9075

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X

Updated by NPPES on 2/15/2021. You can view the original data set for NPI # 1609492016 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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