Organization
NORTHLAND RECOVERY PINEVIEW CENTER
Active
Organization
NORTHLAND RECOVERY PINEVIEW CENTER
Active
Parent organization
NORTHLAND COUNSELING CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHLAND COUNSELING CENTER, INC.
Authorized official
WILLARD L. JOHNSON PH.D., L.P. (DIRECTOR OF OPERATIONS)
(218) 283-3406
Entity
Organization
Contact information
Practice address
912 MAIN ST UNIT B, LITTLEFORK, MN 56653-9379
(218) 278-4607
Mailing address
900 5TH ST STE 305, INTERNATIONAL FALLS, MN 56649-2200
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
301742
MN
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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