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GRAND FORKS GROWTH AND SUPPORT CENTER
NPI 1679170179
Community/Behavioral Health in Grand Forks, ND

Active since October 07, 2020
2105 GATEWAY DR, GRAND FORKS, ND 58203(701) 775-2566 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grand Forks Growth And Support Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND FORKS GROWTH AND SUPPORT CENTER (NPI 1679170179) is a healthcare organization registered as a community/behavioral health in Grand Forks, North Dakota and active in the NPI registry since October 2020. The organization lists Mike Olson, Controller, as its authorized official.

NPPES Registry Identity

NPI1679170179
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGRAND FORKS GROWTH AND SUPPORT CENTER
Location Address2105 GATEWAY DRGrand Forks, ND 58203-1412
Mailing Address2105 Gateway DrGrand Forks, ND 58203-1412 · (701) 775-2566
Phone(701) 775-2566
Organization SubpartNo
Authorized OfficialMike OlsonController · (701) 775-2566
Enumeration DateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1679170179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2105 GATEWAY DR, Grand Forks, ND 58203
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Other Identifiers 1

Medicaid1456174ND

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Forks Growth And Support Center's NPI number?

The NPI number for Grand Forks Growth And Support Center is 1679170179. It was assigned to this organization in the NPPES registry on October 7, 2020.

Where is Grand Forks Growth And Support Center located?

Grand Forks Growth And Support Center is located at 2105 Gateway Dr, Grand Forks, ND 58203. The listed phone number is (701) 775-2566.

What is Grand Forks Growth And Support Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Grand Forks Growth And Support Center was last updated on October 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.