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Southeast Human Service Center
Substance Use Disorder Rehabilitation Clinic/Center in Fargo, North Dakota
NPI 1932146941

Southeast Human Service Center is a Substance Use Disorder Rehabilitation Clinic/Center based in Fargo, ND and is specialized in Rehabilitation, Substance Use Disorder. Southeast Human Service Center practices in Fargo, ND. The NPI Number for Southeast Human Service Center is 1932146941 and holds a License No. (North Dakota).

The current practice location address for Southeast Human Service Center is 2624 9Th Ave S, Fargo, ND and can be reached out via phone at 701-298-4500 and via fax at 701-298-4400.

Location: 2624 9Th Ave S, Fargo, ND, 58103-2350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932146941
Provider Name
Southeast Human Service Center
Credential
Provider Entity Type
Organization
Address
2624 9Th Ave S, Fargo, ND, 58103-2350
Phone Number
701-298-4500
Fax Number
701-298-4400
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054520 05 ND
90981SO 01 MN BCBS OF MN
100001 01 ND BCBS OF ND
institution
Provider Business Practice Location Address Details
Address
2624 9Th Ave S
City
Fargo
State
North Dakota
Zip
58103-2350
Phone Number
701-298-4500
Fax Number
701-298-4400
person
Provider Business Mailing Address Details
Address
2624 9Th Ave S
City
Fargo
State
North Dakota
Zip
58103-2350
Phone Number
701-298-4500
Fax Number
701-298-4400
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1015 (North Dakota)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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