Organization
PEAR LAKE WOMEN'S FACILITY - OUTPATIENT
Active
Parent organization
HOPE HOUSE OF ITASCA COUNTY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOPE HOUSE OF ITASCA COUNTY, INC.
Authorized official
ARIKA STANLEY (SUPERVISOR)
(218) 327-9944
Entity
Organization
Contact information
Practice address
2086 RIDGEWAY DR, GRAND RAPIDS, MN 55744-4421
(218) 327-9944
(218) 327-9944
Mailing address
2086 RIDGEWAY DR, GRAND RAPIDS, MN 55744-4421
(218) 327-9944
(218) 327-9944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10026213CDT
MN
Other
Enumeration date
05/27/2010
Last updated
03/30/2021
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