Prairie St John's, LLC
Prairie St John's, LLC is a Substance Abuse Rehabilitation Facility in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2009.
- Licensed in
- ND
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
510 4th St SFargo, ND 58103
Phone: (401) 478-7517
Fax: (701) 478-7524
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 597-1-1-08A (ND) |
|---|
Record details
| NPI number | 1366681918 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Eide — Cfo · (701) 476-7200 |
| NPI enumerated | February 5, 2009 |
| Last updated in NPPES | February 5, 2009 |
| Mailing address | 510 4th St. South, Fargo, ND 58103 |
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