Agate Bay Professionals Chemical Health Services
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Two Harbors, MN
NPI 1568809366 · NPPES record last updated Jan 31, 2022
Key facts
- NPI
- 1568809366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- AGATE BAY PROFESSIONALS CHEMICAL HEALTH SERVICES
- Practice address
- 227 7TH St
Two Harbors, MN 55616-1530 - Phone
- (218) 830-8085
- NPI assigned
- Jun 3, 2013
- Organization subpart
- No
Authorized official
- Name
- Faith Clark, MSW, LICSW, LADC
- Title
- Counselor & Therapist
- Phone
- (218) 830-8085
Practitioners 1
-
Faith Clark, MSW, LICSW, LADC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
227 7TH St
Two Harbors, MN 55616-1530
Mailing address
227 7TH St
Two Harbors, MN 55616-1530
Other providers in Two Harbors, MN
- Ashley Abbott
- Agate Bay Assisted Living LLC
- Debbie Anne Allert
- Bradley James Alm
- Stacey Francis Anderson
- Barross Manor, LLC
- Stephanie Bellrichard
All providers in Two Harbors, MN · Substance Use Disorder Rehabilitation Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.