CENTRAL MINNESOTA MENTAL HEALTH CENTER NPI 1407977481

NPI Information

NPI: 1407977481
Provider Name: CENTRAL MINNESOTA MENTAL HEALTH CENTER

Other Name: CD SERVICES-MONTICELLO

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
407 WASHINGTON ST
MONTICELLO, MN
ZIP 55362
Phone: (763) 295-4001
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CENTRAL MINNESOTA MENTAL HEALTH CENTER is an addiction (substance use disorder) counselor in Monticello, MN. CENTRAL MINNESOTA MENTAL HEALTH CENTER NPI is 1407977481. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cd Services-monticello.

The provider's business location address is:

407 WASHINGTON ST
MONTICELLO, MN
ZIP 55362-815
Phone: (763) 295-4001
Fax: (763) 295-5086

The provider's authorized official is David Baraga .
The authorized official title is Executive Director and has the following contact phone number (320) 202-2033.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 12/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1022869-2-CDT	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	764442600	OTHER	MINNESOTA	PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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