Youth By Beths Place LLC
Counselor, Addiction (Substance Use Disorder) in Moorhead, MN. Organization (NPI-2).
NPI number1154042018
StatusActive
Last updated in NPPESSep 8, 2022
Details
- NPI
- 1154042018
- Entity type
- Organization (NPI-2)
- Legal business name
- Youth By Beths Place LLC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2022
- Certification date
- Sep 8, 2022
- Last updated
- Sep 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
1606 30th Ave S Ste 2Moorhead, MN 56560-5147
Phone 701-936-1190 · Fax 218-600-5488
Mailing address
1606 30th Ave S Ste 2Moorhead, MN 56560-5147
Phone 701-936-1190 · Fax 218-600-5488
Authorized official
Cassie Kasowski
Ladc
7019361190
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