Organization
LUTHERAN SOCIAL SERVICES OF ND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA THOMASSON (CEO)
(701) 235-7341
Entity
Organization
Contact information
Practice address
3911 20TH AVE S, FARGO, ND 58107
(701) 235-7341
(701) 271-3270
Mailing address
PO BOX 389, FARGO, ND 58107-0389
(701) 235-7341
(701) 271-3270
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050955
—
ND
05
—
54635
—
ND
05
—
55350
—
ND
Enumeration date
12/20/2013
Last updated
04/21/2020
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