Provider Demographics
NPI:1699157677
Name:FIRST CALL FOR HELP OF ITASCA COUNTY
Entity type:Organization
Organization Name:FIRST CALL FOR HELP OF ITASCA COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LACRETIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-326-8565
Mailing Address - Street 1:1007 NW 4TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744-2203
Mailing Address - Country:US
Mailing Address - Phone:218-326-8565
Mailing Address - Fax:218-326-4634
Practice Address - Street 1:1007 NW 4TH ST
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55744-2203
Practice Address - Country:US
Practice Address - Phone:218-326-8565
Practice Address - Fax:218-326-4634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health