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Organization
NEXUS-PATH FAMILY HEALING
Active
Organization
NEXUS-PATH FAMILY HEALING
Active
Parent organization
NEXUS-PATH FAMILY HEALING
Other names
PATH Trauma and Stress Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEXUS-PATH FAMILY HEALING
Authorized official
KAREN BAUKOL PHR (HUMAN RESOURCE DIRECTOR)
(701) 551-6318
Entity
Organization
Contact information
Practice address
1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
(701) 280-9545
Mailing address
1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
(701) 280-9545
(701) 280-0038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459676
—
ND
05
—
1472885
—
ND
Enumeration date
11/16/2017
Last updated
05/13/2020
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