Organization
R.E.S.T.O.R.E
Active
Other names
RESTORE
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY AUGUSTIN (EXECUTIVE DIRECTOR)
(701) 997-4661
Entity
Organization
Contact information
Practice address
3509 INTERSTATE BLVD S STE 100, FARGO, ND 58103-2200
(701) 239-0078
Mailing address
3509 INTERSTATE BLVD S STE 100, FARGO, ND 58103-2200
(701) 239-0078
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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