Organization Name: | FAMILY & CHILDREN'S CENTER, INC. |
NPI Number: | 1063658557 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE BOEHM (CEO, PRESIDENT) |
Mailing Address: | 428 W Broadway St Winona |
State: | MN US |
Postal Code: | 559875216 |
Phone Number: | 5074547711 |
Fax Number: | 5074520325 |
NPI Enumeration Date: | 01/05/2009 |
NPI Last Update Date: | 01/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |