Organization
SISTER'S PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY TRAEN LBSW,LCAC,LADC,MBA (PRESIDENT/CEO)
(701) 532-4345
Entity
Organization
Contact information
Practice address
4219 9TH AVE S, FARGO, ND 58103-2018
(701) 282-6561
(701) 277-0306
Mailing address
4219 9TH AVE S, FARGO, ND 58103-2018
(701) 282-6561
(701) 277-0306
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1056
ND
Other
Enumeration date
12/05/2006
Last updated
05/01/2025
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