Organization
NORTH HOMES, INC. CHEMICAL DEPENDENCY BUHL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZETTE MALLUM (QUALITY ASSURANCE DIRECTOR)
(218) 327-3000
Entity
Organization
Contact information
Practice address
200 WANLESS STREET, BUHL, MN 55713
(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
1059813-1-CDT
MN
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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