Organization · Type 2 NPI

Northwood Children's Home Society Inc

Emotionally Disturbed Childrens' Residential Treatment Facility · Duluth, MN

NPI number 1295891083 Active

Practice location

510 W Quince St
Duluth, MN 55811

Call (218) 625-0189 Map

Mailing address

4000 W 9th St
Duluth, MN 55807-1563

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	None listed
Psychologist	103T00000X	None listed
Social Worker	104100000X	None listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	801777 (MN)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Another provider at this address

Charles Orsak, LP, PhDPsychologist Duluth, MN NPI 1508966730

Other emotionally disturbed childrens' residential treatment facility providers in Duluth

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NPI record

NPI: 1295891083
Entity type: Organization (Type 2)
Issued: Dec 28, 2006
Last updated: May 12, 2021
Status: Active
Subpart: Yes of Northwood Children's Home Society, Inc

Other names

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Northwood Children's Services Da Center · doing business as
Northwood Children's Services Da Center · doing business as

Authorized official

Ms. Melissa Winkler, LICSW
Director of Quality Assurance
(218) 625-2638

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295891083

Northwood Children's Home Society Inc's National Provider Identifier is 1295891083, issued on Dec 28, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Duluth, MN. The record was last updated on May 12, 2021.