Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sunrise Youth Services Inc

Organization General Practice Physician · NPI 1609606805

Sunrise Youth Services Inc provides General Practice Physician services in Fargo, North Dakota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

112 University Dr N Ste L140
Fargo, ND 58102-4635
Phone: (701) 639-3356
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1609606805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mason Peterson — Chief Executive Officer · (701) 639-3356
NPI enumeratedAugust 3, 2024
Last updated in NPPESAugust 3, 2024
Certification dateAugust 3, 2024
Mailing address112 University Dr N Ste L140, Fargo, ND 58102-4635

Other providers in Fargo