Organization
SOUTHEAST BEHAVIORAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF J STENSETH (DIRECTOR)
(701) 298-4500
Entity
Organization
Contact information
Practice address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
(701) 298-4400
Mailing address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
(701) 298-4400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1015
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054520
—
ND
01
—
100001
BCBS OF ND
ND
01
—
90981SO
BCBS OF MN
MN
Enumeration date
05/31/2006
Last updated
03/31/2026
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