License Number- 1072157
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- NCC Maplewood
Website-
Address- 213 SE 11TH ST, Grand Rapids, MN 55744-3970
County -Itasca
Phone-(218) 327-7942
License Status- Active
License Holder -Northland Counseling Center, Inc.
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1072155; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Itasca County Health & Human Services
Initial Effective Date- 7/1/2014