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1154042018
YOUTH BY BETHS PLACE LLC
MOORHEAD, MN
NPI
1154042018
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Entity Type
Organization
Authorized Contact
CASSIE KASOWSKI
Ladc
701-936-1190
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-09-08
Last Update Date
2022-09-08
Business Address
YOUTH BY BETHS PLACE LLC
1606 30TH AVE S STE 2
MOORHEAD, MN 56560-5147
Phone number: 701-936-1190
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Mailing Address
YOUTH BY BETHS PLACE LLC
1606 30TH AVE S STE 2
MOORHEAD, MN 56560-5147
Phone number: 701-936-1190
Copy
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