Organization
ST. JAMES' OF NORTH DAKOTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMET MICHAEL KENNEY JR. MD (PRESIDENT/CEO)
(701) 751-8008
Entity
Organization
Contact information
Practice address
1007 4TH AVE S, WISHEK, ND 58495-7527
(701) 751-8008
Mailing address
3120Z 25TH ST S # 344, FARGO, ND 58103-5054
(701) 751-8008
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
7174
ND
261QM0855X
Adolescent and Children Mental Health Clinic/Center
7174
ND
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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