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Organization
COUNTY OF COOK
Active
Organization
COUNTY OF COOK
Active
Other names
Cook Co Wilderness Outpatient Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON MCINTYRE (DIRECTOR)
(218) 387-3620
Entity
Organization
Contact information
Practice address
411 W 2ND ST, GRAND MARAIS, MN 55604-2307
(218) 387-3020
Mailing address
411 W 2ND ST, GRAND MARAIS, MN 55604-2307
(218) 387-3020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
810854-1-CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407791100
—
MN
Enumeration date
01/31/2008
Last updated
08/08/2025
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