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NPI 1699157677 · Community/Behavioral Health Agency · Grand Rapids, MN
Provider details
- NPI number
- 1699157677
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lacretia Larson, Executive Director(218) 326-8565
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
815 Nw 4th Street
Grand Rapids, MN 55744
Phone: (218) 326-8565
Fax: (218) 326-4634
Street-level locationGet directions
Mailing address
815 Nw 4th Street
Grand Rapids, MN 55744
Additional practice locations (2)
- 39486 Stevens Creek RdCohasset, MN 55721-2298Phone: (218) 999-0092Fax: (218) 999-9117
- 115 Nw 4th StSuite 2Grand Rapids, MN 55744-2725Phone: (218) 326-8565Fax: (218) 326-4634
Registry dates
- Enumerated
- 2015-06-25
- Last updated
- 2025-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.