MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR - NPI NUMBER 1194014134

Summary

Provider Name: MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR

NPI Number: 1194014134

NPI Type: Organization

Clasification: Community Based Residential Treatment Facility, Mental Illness (320800000X)

Address:
1208 OLENA AVE
WILLMAR, MN
ZIP 56201

Phone Number: (651) 431-3676



Detailed Information

MINNESOTA SPECIALITY HEALTH SYSTEMS WILLMAR is a community based residential treatment facility, mental illness in Willmar, MN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. The assigned NPI number for this provider is 1194014134 and is registered as an organization entity type.

The provider's business address is:

1208 OLENA AVE
WILLMAR, MN
ZIP 56201-766
Phone: (651) 431-3676
Fax: (651) 431-7505

The provider's authorized official is Lori A Zook .
The authorized official title is Controller and has the following contact phone number (651) 431-3691.

The enumeration date for this NPI number is 3/30/2011 and was last updated on 3/30/2011.

Map - Location of Practice




This page was last updated on: 5/13/2015

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.