# SOUTHEAST BEHAVIORAL HEALTH CLINIC

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

## Provider details

- **NPI number:** 1760396576
- **Authorized official:** LUCY OLSON (CLAIMS AND CLIENT ACCOUNTS MANAGER)
- **Authorized official phone:** (701) 328-8580

## Contact information

- **Practice address:** 2624 9TH AVE S, FARGO, ND 58103-2350
- **Practice address phone:** (701) 298-4500
- **Practice address fax:** (701) 298-4400
- **Mailing address:** 2624 9TH AVE S, FARGO, ND 58103-2350
- **Mailing address phone:** (701) 298-4500
- **Mailing address fax:** (701) 298-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2026
- **Last updated:** 09/29/2026