Community Extended Nuclear Transitional Residence for Ex-Offenders
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Fargo, ND
NPI 1326469883 · NPPES record last updated Dec 30, 2013
Key facts
- NPI
- 1326469883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1077 (ND)
- Legal business name
- COMMUNITY EXTENDED NUCLEAR TRANSITIONAL RESIDENCE FOR EX-OFFENDERS
- Practice address
- 123 15TH St N
Fargo, ND 58102-4220 - Phone
- (701) 373-8356
- Fax
- (701) 893-9165
- NPI assigned
- Dec 30, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Joshua Helmer
- Title
- Executive Director
- Phone
- (701) 373-8312
National Provider Directory
Locations
123 15th St N
Fargo, ND 58102
Phone (701) 373-8301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 1077 | ND | Yes |
Addresses
Primary practice location
123 15TH St N
Fargo, ND 58102-4220
Mailing address
123 15TH St N
P. O. Box 1269
Fargo, ND 58102-4220
Phone (701) 373-8356
Other names
- Centre, Inc.
Other providers in Fargo, ND
- Brianna Jo Colosky
- Michelle Colton
- Comfort Guardian Home Care, LLC
- Community Cares Options
- Community Cares Options
- Community Living Services Inc
- Community Living Services, Inc
- Community Living Services, Inc
- Community Medical Services Montana Private LLC
- Community Medical Services Montana-Private, LLC
All providers in Fargo, ND · Addiction (Substance Use Disorder) Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.