Organization
UPSTREAM ENTERPRISES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY ALAN WHITE (PRESIDENT)
(701) 799-6254
Entity
Organization
Contact information
Practice address
417 MAIN AVE, FARGO, ND 58103-1956
(701) 446-8512
Mailing address
1621 8TH AVE S, FARGO, ND 58103-2535
(701) 799-6254
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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