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Organization
NORTHEAST BEHAVIORAL HEALTH CLINIC
Active
Organization
NORTHEAST BEHAVIORAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA AUKLAND (ASSISTANT CFO - DHS)
(701) 328-4924
Entity
Organization
Contact information
Practice address
151 S 4TH ST, SUITE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050
Mailing address
151 S 4TH ST STE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1049
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054519
—
ND
01
—
242001
BCBS ND PROV #
ND
01
—
90963NO
BCBS OF MN PROV #
ND
01
—
CI4039
RAILROAD MEDICARE #
ND
Enumeration date
05/22/2006
Last updated
05/20/2026
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