Organization
NORTHLAND COUNSELING CENTER KOOCH OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY MADSEN (AR SUPERVISOR)
(218) 327-1151
Entity
Organization
Contact information
Practice address
1404 HIGHWAY 71, INTERNATIONAL FALLS, MN 56649-2154
(218) 327-1151
Mailing address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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