Organization
COMMUNITY EXTENDED NUCLEAR TRANSITIONAL RESIDENCE FOR EX-OFFENDERS
Active
Other names
Centre, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA HELMER (EXECUTIVE DIRECTOR)
(701) 373-8312
Entity
Organization
Contact information
Practice address
123 15TH ST N, FARGO, ND 58102-4220
(701) 373-8356
(701) 893-9165
Mailing address
123 15TH ST N, P. O. BOX 1269, FARGO, ND 58102-4220
(701) 373-8356
(701) 893-9165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1077
ND
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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