Organization Name: | CHILD & ADOLESCENT BEHAVIORAL HEALTH SERVICES |
NPI Number: | 1013042589 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUG SEILER (MENTAL HEALTH ADMIN OFFICER) |
Mailing Address: | 11630 State Ave Brainerd |
State: | MN US |
Postal Code: | 564017306 |
Phone Number: | 2188282201 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |