OrganizationActive
Igniting Your Change
NPI 1609492016 · Mental Health Clinic/Center (Including Community Mental Health Center) · Fargo, ND
Provider details
- NPI number
- 1609492016
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Authorized official
- Jessica Deckert, Owner
Mailing address
1128 Westrac Dr S Ste a
Fargo, ND 58103-8729
Registry dates
- Enumerated
- 2020-06-22
- Last updated
- 2021-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.