Organization
GOETZ MENTAL WELLNESS INITIATIVE
Active
Other names
Imagine Thriving
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MONSON (INTERIM CEO)
(701) 235-7341
Entity
Organization
Contact information
Practice address
3911 20TH AVE S, FARGO, ND 58103-4705
(701) 271-1613
Mailing address
3911 20TH AVE S, FARGO, ND 58103-4705
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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