Organization
DEEP ROOTS RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLE THOMSEN (VICE PRESIDENT)
(701) 895-4353
Entity
Organization
Contact information
Practice address
1351 PAGE DR S STE 200, FARGO, ND 58103-3536
(701) 532-1509
Mailing address
1351 PAGE DR S STE 200, FARGO, ND 58103-3536
(701) 532-1509
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/20/2025
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