Organization
NORTHLAND AFC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEPHEN N (EXECUTIVE DIRECTOR)
(218) 722-2585
Entity
Organization
Contact information
Practice address
1576 WHITE PINE TRAIL, CLOQUET, MN 55720
(218) 879-4248
Mailing address
101 W 2ND STREET, SUITE 209, DULUTH, MN 55802
(218) 722-2585
(218) 722-1935
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1041000-1-AFC
MN
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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