Nexus-Path Family Healing
Clinic/Center, Mental Health (Including Community Mental Health Center) in Fargo, ND. Organization (NPI-2).
NPI number1982117602
StatusActive
Last updated in NPPESMay 13, 2020
Details
- NPI
- 1982117602
- Entity type
- Organization (NPI-2)
- Legal business name
- Nexus-Path Family Healing
- Organization subpart
- Yes
- Enumeration date
- Nov 16, 2017
- Certification date
- May 13, 2020
- Last updated
- May 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Other names
- Path Trauma And Stress Clinic (Doing Business As)
Practice location
1202 Westrac Dr S Ste 400Fargo, ND 58103-2356
Phone 701-280-9545
Mailing address
1202 Westrac Dr S Ste 400Fargo, ND 58103-2356
Phone 701-280-9545 · Fax 701-280-0038
Authorized official
Karen Baukol
Human Resource Director
7015516318
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