Organization
PATH MINNESOTA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. APRIL ROBERGE (HUMAN RESOURCE & ADMIN COORDINATOR)
(701) 551-6342
Entity
Organization
Contact information
Practice address
1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
(701) 280-9545
(701) 451-9473
Mailing address
1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
(701) 280-9545
(701) 451-9473
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459674
—
ND
Enumeration date
08/26/2009
Last updated
10/26/2018
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