# UPSTREAM ENTERPRISES, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417784604
- **Authorized official:** TROY ALAN WHITE (PRESIDENT)
- **Authorized official phone:** (701) 799-6254

## Contact information

- **Practice address:** 417 MAIN AVE, FARGO, ND 58103-1956
- **Practice address phone:** (701) 446-8512
- **Mailing address:** 1621 8TH AVE S, FARGO, ND 58103-2535
- **Mailing address phone:** (701) 799-6254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2024
- **Last updated:** 09/19/2024