Northridge Counseling Centre Inc in Grand Forks - Addiction (substance Use Disorder)

Northridge Counseling Centre Inc - NPI 1912063587

Northridge Counseling Centre Inc is a Addiction (substance Use Disorder) in Grand Forks, North Dakota. Northridge Counseling Centre Inc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Northridge Counseling Centre Inc is 1912063587. The last update date is 2020-08-22.

Northridge Counseling Centre Inc's current location address is 215 N 3rd Street, Grand Forks, North Dakota. You can contact this provider via phone number 7017727203 and fax number 7017727204. The mailing address for Northridge Counseling Centre Inc is 215 N 3rd Street, Grand Forks, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northridge Counseling Centre Inc
Address 215 N 3rd Street, Grand Forks, North Dakota
Phone Number 7017727203
Fax Number 7017727204
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER COUN
Authorized Official Name Hennessy Patrick John
Credentials LAC NCAC I
Telephone Number 7017727203

NPI Number Detail

NPI Number 1912063587
Provider Enumeration Date 2006-12-28
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 215 N 3rd Street
City Grand Forks
State North Dakota (ND)
Post Code 58203
Phone Number 7017727203
Fax Number 7017727204

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 1054
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Northridge Counseling Centre Inc

What is the unique 10-digit identification code assigned to Northridge Counseling Centre Inc by the Centers for Medicare & Medicaid Services?

The Northridge Counseling Centre Inc has been issued the NPI (National Provider Identifier) 1912063587, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Northridge Counseling Centre Inc's facilities are geographically located?

The facilities of Northridge Counseling Centre Inc are physically situated at the following location: 215 N 3Rd Street, Grand Forks, ND, 58203.

What is the Northridge Counseling Centre Inc's specialty and taxonomy code?

The Northridge Counseling Centre Inc's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date was the 1912063587 assigned to Northridge Counseling Centre Inc?

The Northridge Counseling Centre Inc was issued its 1912063587 on 2006-12-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Northridge Counseling Centre Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Northridge Counseling Centre Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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