Northland Recovery Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

101YM0800X Issued in MN

Legal business name

NORTHLAND RECOVERY CENTER

Practice address

1215 SE 7TH Ave
Grand Rapids, MN 55744-4201

Phone

(218) 327-1105

NPI assigned

Jun 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurie Beth Vizenor, M.S.

Title

Mental Health Practitioner, Trainee

Phone

218327110524

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1992185524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SE 7TH AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444201",
            "telephone_number": "218-327-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SE 7TH AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444201",
            "telephone_number": "218-327-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "VIZENOR",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "MENTAL HEALTH PRACTITIONER, TRAINEE",
        "authorized_official_telephone_number": "218327110524",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "101YM0800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.