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Organization
VILLAGE FAMILY SERVICE CENTER
Active
Organization
VILLAGE FAMILY SERVICE CENTER
Active
Other names
The Village Family Service Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMBROSIA BURKE (INSURANCE SPECIALIST)
(701) 451-4865
Entity
Organization
Contact information
Practice address
2701 12TH AVE S, FARGO, ND 58103-8753
(701) 451-4900
(651) 925-0057
Mailing address
2701 12TH AVE S, FARGO, ND 58103-8753
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
316-8-1-95-97
ND
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1451299
—
ND
05
—
1451559
—
ND
05
—
1470782
—
MN
05
—
1568492353
—
MN
Enumeration date
07/04/2006
Last updated
02/26/2026
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