| North Homes, Inc. - Chemical Dependency Program | |
|
1880 River Rd Grand Rapids MN 55744-4085 | |
| (218) 327-3000 | |
| (218) 327-1871 |
| Full Name | North Homes, Inc. - Chemical Dependency Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1880 River Rd, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Tim Adamich (DIRECTOR OF FINANCE & MARKETING) |
| Authorized Official Contact | 2183273000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Homes, Inc. - Chemical Dependency Program 1880 River Rd Grand Rapids MN 55744-4085 Ph: (218) 327-3000 | North Homes, Inc. - Chemical Dependency Program 1880 River Rd Grand Rapids MN 55744-4085 Ph: (218) 327-3000 |
| NPI Number | 1659445476 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 09/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659445476 | NPI | - | NPPES |
| 5046635 | Other | MN | MEDICA-UBH PROVIDER ID |
| 7Z11NO | Other | MN | BCBS OF MN |
| 895519100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1027589-1-CDT (Minnesota) | Primary |
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