Organization
SHAREHOUSE MENTAL HEALTH CLINIC
Active
Parent organization
SHAREHOUSE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAREHOUSE, INC.
Authorized official
MR. JEREMY TRAEN LBSW,LCAC,LADC.MBA (CEO/PRESIDENT)
(701) 532-4345
Entity
Organization
Contact information
Practice address
505 40TH ST S UNIT A, FARGO, ND 58103-1184
(701) 478-8440
Mailing address
4227 9TH AVE S, FARGO, ND 58103-2018
(701) 282-6561
(651) 925-0046
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1056
ND
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
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Other
Enumeration date
09/26/2011
Last updated
05/01/2025
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