NPI 1437537602
Sharehouse, INC
Practice location
- Address
- 4215 9th Ave S, Fargo, ND 58103-2018
- Phone
- (701) 478-9554
- Mailing address
- 4227 9th Ave S, Fargo, ND 58103-2018
Authorised official
- Name
- Timothy Jon Clark
- Title
- Addiction Counselor
- Phone
- (701) 478-9551
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1437537602
- Entity type
- Organization
- NPI issued
- 8 May 2015
- Record last updated
- 8 May 2015
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.