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Organization
GOETZ MENTAL WELLNESS INITIATIVE
Active
Organization
GOETZ MENTAL WELLNESS INITIATIVE
Active
Other names
Imagine Thriving
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MONSON (INTERIM CEO)
(701) 235-7341
Entity
Organization
Contact information
Practice address
3911 20TH AVE S, FARGO, ND 58103-4705
(701) 271-1613
Mailing address
3911 20TH AVE S, FARGO, ND 58103-4705
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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