| Organization Name: | CHISAGO COUNTY HUMAN SERVICES |
| NPI Number: | 1003959883 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY SHEEHAN (DIRECTOR OF HEALTH & HUMAN SERVICES) |
| Mailing Address: | 11549 Lake Ln Ste 3 Chisago City |
| State: | MN US |
| Postal Code: | 550139592 |
| Phone Number: | 6512135751 |
| Fax Number: | 6512135753 |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |