Addie'S Angels Of North Dakota
Clinic/Center, Mental Health (Including Community Mental Health Center) in Fargo, ND. Organization (NPI-2).
NPI number1336735752
StatusActive
Last updated in NPPESDec 30, 2020
Details
- NPI
- 1336735752
- Entity type
- Organization (NPI-2)
- Legal business name
- Addie'S Angels Of North Dakota
- Organization subpart
- No
- Enumeration date
- Dec 19, 2020
- Certification date
- Dec 30, 2020
- Last updated
- Dec 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1609 29th Ave SFargo, ND 58103-5922
Phone 701-429-0320
Mailing address
1609 29th Ave SFargo, ND 58103-5922
Phone 701-429-0320
Authorized official
Ashley Elizabeth Thompson
President
7014290320
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