Organization
NORTHLAND COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
K. GREG WALKER (CEO)
(218) 326-0099
Entity
Organization
Contact information
Practice address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
(218) 326-1274
Mailing address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72560NO
BCBS
MN
Enumeration date
10/05/2007
Last updated
10/05/2007
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