CENTRAL MINNESOTA MENTAL HEALTH CENTER NPI 1225016306

NPI Information

CENTRAL MINNESOTA MENTAL HEALTH CENTER is a community based residential treatment facility mental illness in Saint Cloud, MN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CENTRAL MINNESOTA MENTAL HEALTH CENTER NPI is 1225016306. The provider is registered as an organization entity type.
The provider Is Doing Business As Northway Intensive Residential Treatment.

The provider's business location address is:

1509 24TH AVE N
SAINT CLOUD, MN
ZIP 56303-306
Phone: (320) 252-8648
Fax: (320) 529-4909

The provider's authorized official is David J. Baraga .
The authorized official title is Executive Director and has the following contact phone number (320) 252-5010.

The CLIA number assigned to this NPI record is 24D2279534 - other - irts with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2006 and was last updated on 8/5/2009.

Taxonomy Codes

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Other Identifiers

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