St. Will's, LLC
NPI #1801190772 in Fargo, North Dakota
Provider Information
- NPI Number
- 1801190772
- Entity Type
- Organization
- Organization Name
- St. Will's, LLC
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Jan 6, 2011
- Last Updated
- Mar 15, 2011
Practice Location
- Address
- 3137 32ND AVE S
- Address 2
- SUITE 223
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-6159
- Phone
- (701) 577-5700
Authorized Official
- Name
- DR. EMMET MICHAEL KENNEY JR., M.D.
- Title
- PRESIDENT
- Phone
- (701) 577-5700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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