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Organization

SHAREHOUSE GENESIS

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 B, FARGO, ND 58103-1184
(701) 478-8440
(651) 925-0046
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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility
Primary
1056
ND

Other

Enumeration date
05/27/2009
Last updated
02/17/2026
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