Organization
PSJ ACQUISITION LLC
Active
Other names
Prairie St. John's
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7800
Mailing address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
ND
103T00000X
Psychologist
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11051
—
ND
05
—
99725100
—
MN
Enumeration date
08/19/2015
Last updated
07/31/2025
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