Organization
HOPE HOUSE OF ITASCA COUNTY, INC.
Active
Other names
Pear Lake Women's Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN LYNN MARCHEL (EXECUTIVE DIRECTOR)
(218) 327-9944
Entity
Organization
Contact information
Practice address
2086 RIDGEWAY DR, GRAND RAPIDS, MN 55744-4421
(218) 327-9944
(218) 327-9375
Mailing address
2086 RIDGEWAY DR, GRAND RAPIDS, MN 55744-4421
(218) 327-9944
(218) 327-9375
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
1002621-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
642634400
—
MN
Enumeration date
09/13/2006
Last updated
03/30/2021
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