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Organization

YOUTH BY BETHS PLACE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASSIE KASOWSKI (LADC)
(701) 936-1190
Entity
Organization

Contact information

Practice address
1606 30TH AVE S STE 2, MOORHEAD, MN 56560-5147
(701) 936-1190
(218) 600-5488
Mailing address
1606 30TH AVE S STE 2, MOORHEAD, MN 56560-5147
(701) 936-1190
(218) 600-5488

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/08/2022
Last updated
09/08/2022
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