Northland Counseling Center, INC.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Grand Rapids, MN. Organization (NPI-2).
NPI number1407045461
StatusActive
Last updated in NPPESOct 16, 2007
Details
- NPI
- 1407045461
- Entity type
- Organization (NPI-2)
- Legal business name
- Northland Counseling Center, INC.
- Organization subpart
- No
- Enumeration date
- Oct 16, 2007
- Last updated
- Oct 16, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
1307 S Pokegama AveGrand Rapids, MN 55744-4210
Phone 218-327-1151
Mailing address
215 Se 2nd AveGrand Rapids, MN 55744-3615
Authorized official
K. Greg Walker
Ceo
2183260099
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