Organization
NEXUS-PATH FAMILY HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BAUKOL PHR (HR DIRECTOR)
(701) 551-6318
Entity
Organization
Contact information
Practice address
1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
(701) 280-9545
(701) 451-9473
Mailing address
1202 WESTRAC DR S STE 400, FARGO, ND 58103-2356
(701) 280-9545
(701) 280-0038
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
ND
1041C0700X
Clinical Social Worker
—
ND
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
ND
251S00000X
Community/Behavioral Health Agency
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459674
—
ND
05
—
1472588
—
ND
Enumeration date
05/04/2007
Last updated
07/21/2022
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