# NEXUS-PATH FAMILY HEALING

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

## Provider details

- **NPI number:** 1811572886
- **Authorized official:** KAREN BAUKOL PHR (HR DIRECTOR)
- **Authorized official phone:** (701) 551-6318

## Contact information

- **Practice address:** 1505 5TH AVE S, FARGO, ND 58103-1539
- **Practice address phone:** (701) 232-8905
- **Mailing address:** 1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
- **Mailing address phone:** (218) 280-9545
- **Mailing address fax:** (701) 280-0038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2021
- **Last updated:** 03/15/2021
