Organization
NORTHWOOD CHILDREN'S HOME SOCIETY INC
Active
Parent organization
NORTHWOOD CHILDREN'S HOME SOCIETY, INC
Other names
Northwood Children's Services DA Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWOOD CHILDREN'S HOME SOCIETY, INC
Authorized official
MS. MELISSA WINKLER LICSW (DIRECTOR OF QUALITY ASSURANCE)
(218) 625-2638
Entity
Organization
Contact information
Practice address
510 W QUINCE ST, DULUTH, MN 55811
(218) 625-0189
Mailing address
4000 W 9TH ST, DULUTH, MN 55807-1563
(218) 724-3472
(218) 724-3843
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
801777
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0292NO
BCBS
—
01
—
8457171
MEDICA
—
Enumeration date
12/28/2006
Last updated
05/12/2021
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