Organization Name: | CATHOLIC CHARITIES OF THE DIOCESE OF ST. CLOUD |
NPI Number: | 1003944620 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY DILLMAN (BUSINESS OFFICE MANAGER) |
Mailing Address: | 157 Roosevelt Rd Suite 300 Saint Cloud |
State: | MN US |
Postal Code: | 563015478 |
Phone Number: | 3202403324 |
Fax Number: | 3202403339 |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 04/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |