PRAIRIE ST. JOHN'S, LLC 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. PRAIRIE ST. JOHN'S, LLC NPI is 1366681918. The provider is registered as an organization entity type.
The provider's business location address is:
510 4TH ST. SOUTH
FARGO, ND
ZIP 58103
Phone: (401) 478-7517
Fax: (701) 478-7524
The provider's authorized official is Thomas Eide .
The authorized official title is Cfo and has the following contact phone number (701) 476-7200.
The CLIA number assigned to this NPI record is 35D2083008 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/5/2009 and was last updated on 2/5/2009.