NCC White Pine Way, Grand Rapids

License Number- 1095957

License Type-Home and Community Based Services – Community Residential Setting

Name of Program-  NCC White Pine Way

Website-  

Address- 402 SE 13TH ST, Grand Rapids, MN 55744-4258

County -Itasca

Phone-(218) 999-9942

License Status-   Active

License Holder -Northland Counseling Center, Inc.

Capacity-   1

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-  8/3/2018