institution
Northeast Human Service Center
Substance Use Disorder Rehabilitation Clinic/Center in Grand Forks, North Dakota
NPI 1366496341

Northeast Human Service Center is a Substance Use Disorder Rehabilitation Clinic/Center based in Grand Forks, ND and is specialized in Rehabilitation, Substance Use Disorder. Northeast Human Service Center practices in Grand Forks, ND. The NPI Number for Northeast Human Service Center is 1366496341 and holds a License No. (North Dakota).

The current practice location address for Northeast Human Service Center is 151 S 4Th St, Grand Forks, ND and can be reached out via phone at 701-795-3000 and via fax at 701-795-3050. You can also correspond with Northeast Human Service Center through the mailing address at 151 S 4TH ST, GRAND FORKS, ND - 58201-4715 (mailing address contact number: 701-795-3000).

Location: 151 S 4Th St, Grand Forks, ND, 58201-4715
institution
Provider Profile Details
NPI Number
1366496341
Provider Name
Northeast Human Service Center
Credential
Provider Entity Type
Organization
Address
151 S 4Th St, Grand Forks, ND, 58201-4715
Phone Number
701-795-3000
Fax Number
701-795-3050
Provider Enumeration Date
05/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
242001 01 ND BCBS ND PROV #
CI4039 01 ND RAILROAD MEDICARE #
054519 05 ND
90963NO 01 ND BCBS OF MN PROV #
institution
Provider Business Practice Location Address Details
Address
151 S 4Th St
City
State
Zip
58201-4715
Phone Number
701-795-3000
Fax Number
701-795-3050
person
Provider Business Mailing Address Details
Address
151 S 4Th St
City
State
Zip
58201-4715
Phone Number
701-795-3000
Fax Number
701-795-3050
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
1049 (North Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
()
Definition
Definition to come...
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