Organization
F5 PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY BENARD STANLEY (CHIEF ADMINISTRATIVE OFFICER)
(701) 388-4550
Entity
Organization
Contact information
Practice address
1122 1ST AVE N, FARGO, ND 58102-4604
(701) 210-2491
Mailing address
1122 1ST AVE N, FARGO, ND 58102-4604
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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