Provider Demographics
NPI:1376076604
Name:NORTH POINT HEALTH &WELLNESS CENTER
Entity type:Organization
Organization Name:NORTH POINT HEALTH &WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RENAISSANCE COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ECHOLES
Authorized Official - Suffix:
Authorized Official - Credentials:LACD
Authorized Official - Phone:612-767-9187
Mailing Address - Street 1:950 SHERBURNE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-2606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:950 SHERBURNE AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2606
Practice Address - Country:US
Practice Address - Phone:651-642-1924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3245000000X324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility