Provider Demographics
NPI:1891872420
Name:NORTHLAND FAMILY COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:NORTHLAND FAMILY COUNSELING CENTER, INC.
Other - Org Name:INDUSTRIAL REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MSW
Authorized Official - Phone:816-454-8777
Mailing Address - Street 1:429 N.E. 69 HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64119-3118
Mailing Address - Country:US
Mailing Address - Phone:816-452-8777
Mailing Address - Fax:816-452-8795
Practice Address - Street 1:429 N.E. 69 HIGHWAY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64119-3118
Practice Address - Country:US
Practice Address - Phone:816-452-8777
Practice Address - Fax:816-452-8795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder