Organization
STANDING TALL RECOVERY & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENIKA BORDEAUX-COLLINS LMAC (DIRECTOR)
(701) 799-6012
Entity
Organization
Contact information
Practice address
3523 45TH ST S STE 105, FARGO, ND 58104-8962
(701) 799-6012
Mailing address
4902 16TH AVE S APT 101, FARGO, ND 58103-8943
(701) 799-6012
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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