Organization
NORTH HOMES, INC. - CHEMICAL DEPENDENCY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM ADAMICH (DIRECTOR OF FINANCE & MARKETING)
(218) 327-3000
Entity
Organization
Contact information
Practice address
1880 RIVER RD, GRAND RAPIDS, MN 55744-4085
(218) 327-3000
(218) 327-1871
Mailing address
1880 RIVER RD, GRAND RAPIDS, MN 55744-4085
(218) 327-3000
(218) 327-1871
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1027589-1-CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5046635
MEDICA-UBH PROVIDER ID
MN
01
—
7Z11NO
BCBS OF MN
MN
05
—
895519100
—
MN
Enumeration date
11/20/2006
Last updated
09/18/2008
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