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Organization
BETTER THIS WAT PSYCHOLOGICAL SERVICES
Active
Organization
BETTER THIS WAT PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNEDY CORREA (OWNER)
(701) 277-2579
Entity
Organization
Contact information
Practice address
4510 13TH AVE S, FARGO, ND 58103-5562
(701) 277-2579
Mailing address
4510 13TH AVE S, FARGO, ND 58103-5562
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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