NPI 1356576979

Sharehouse Genesis

Organisation Substance Abuse Rehabilitation Facility Fargo, ND

Practice location

Address: 505 40th St S Unit B, Fargo, ND 58103-1184
Phone: (701) 478-8440
Fax: (651) 925-0046
Mailing address: 4227 9th Ave S, Fargo, ND 58103-2018

Authorised official

Name: Jeremy Traen
Title: Ceo/President
Phone: (701) 532-4345

Registered specialties (3)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 1056 (ND)

Other Substance Abuse Rehabilitation Facility providers in North Dakota →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

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Registry record

NPI: 1356576979
Entity type: Organization
NPI issued: 27 May 2009
Record last updated: 17 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.