Organization
FRASER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BARTON (DIRECTOR OF ACCOUNTING)
(701) 232-3301
Entity
Organization
Contact information
Practice address
717 UNIVERSITY DR S, FARGO, ND 58103-2679
(701) 232-3301
Mailing address
2902 UNIVERSITY DR S, FARGO, ND 58103-6032
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455840
—
ND
Enumeration date
10/21/2020
Last updated
10/21/2020
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