NPI 1407045461
Northland Counseling Center, INC.
Practice location
- Address
- 1307 S Pokegama Ave, Grand Rapids, MN 55744-4210
- Phone
- (218) 327-1151
- Mailing address
- 215 SE 2nd Ave, Grand Rapids, MN 55744-3615
Authorised official
- Name
- K. Greg Walker
- Title
- Ceo
- Phone
- (218) 326-0099
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1407045461
- Entity type
- Organization
- NPI issued
- 16 Oct 2007
- Record last updated
- 16 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.