| Northland Recovery Center | |
|
1215 Se 7th Ave Grand Rapids MN 55744-4201 | |
| (218) 327-1105 | |
| Not Available |
| Full Name | Northland Recovery Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1215 Se 7th Ave, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Laurie Beth Vizenor (MENTAL HEALTH PRACTITIONER, TRAINEE) |
| Authorized Official Contact | 218327110524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Recovery Center 1215 Se 7th Ave Grand Rapids MN 55744-4201 Ph: (218) 327-1105 | Northland Recovery Center 1215 Se 7th Ave Grand Rapids MN 55744-4201 Ph: (218) 327-1105 |
| NPI Number | 1992185524 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 06/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992185524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 101YM0800X (Minnesota) | Primary |
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