Organization
STAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY BENSON (CEO)
(701) 541-3330
Entity
Organization
Contact information
Practice address
461 34TH ST SW, FARGO, ND 58103-2215
(701) 630-6100
Mailing address
461 34TH ST SW, FARGO, ND 58103-2215
(701) 630-6100
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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