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
1307 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-4210
(218) 327-1151
Mailing address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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