Organization · Type 2 NPI

Hope House of Itasca County, Inc.

Substance Abuse Rehabilitation Facility · Grand Rapids, MN

NPI number 1851496368 Active

Practice location

2086 Ridgeway Dr
Grand Rapids, MN 55744-4421

Fax (218) 327-9375

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	1002621-2 (MN)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

5 other providers at this address

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NPI record

NPI: 1851496368
Entity type: Organization (Type 2)
Issued: Sep 13, 2006
Last updated: Mar 30, 2021
Status: Active

Other names

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Pear Lake Women's Facility · doing business as
Pear Lake Women's Facility · doing business as

Authorized official

Ms. Susan Lynn Marchel
Executive Director
(218) 327-9944

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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 1851496368

Hope House of Itasca County, Inc.'s National Provider Identifier is 1851496368, issued on Sep 13, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Grand Rapids, MN. The record was last updated on Mar 30, 2021.