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Organization
PSJ ACQUISITION LLC
Active
Organization
PSJ ACQUISITION LLC
Active
Other names
Prairie St. John's
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7800
Mailing address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
ND
103T00000X
Psychologist
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11051
—
ND
05
—
99725100
—
MN
Enumeration date
08/19/2015
Last updated
07/31/2025
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