Organization
PEOPLES RISING ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI PLECITY (DIRECTOR)
(701) 541-0875
Entity
Organization
Contact information
Practice address
1383 21ST AVE N, FARGO, ND 58102-1841
(701) 541-0875
Mailing address
4779 63RD ST S, FARGO, ND 58104-4502
(701) 541-0875
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
01/27/2022
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