SHAREHOUSE GENESIS is a substance abuse rehabilitation facility in Fargo, ND. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SHAREHOUSE GENESIS NPI is 1356576979. The provider is registered as an organization entity type.
The provider's business location address is:
505 40TH ST S UNIT B
FARGO, ND
ZIP 58103-184
Phone: (701) 478-8440
Fax: (651) 925-0046
The provider's authorized official is Tyrel Hegland .
The authorized official title is President/ceo and has the following contact phone number (701) 282-6561.
The enumeration date for this NPI number is 5/27/2009 and was last updated on 9/23/2020.