NPI 1114048170 CENTRAL MINNESOTA MENTAL HEALTH CENTER SAINT CLOUD MN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Central Minnesota Mental Health Center - NPI: 1114048170

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: CENTRAL MINNESOTA MENTAL HEALTH CENTER
NPI Number: 1114048170
Entity Type Code: Organizational (2)
Authorized Official Name: DAVID BARAGA
(EXECUTIVE DIRECTOR)
Mailing Address: 730 Dodge Ave Nw Suite 101
Elk River
State: MN US
Postal Code: 553301926
Phone Number: 7634413770
Fax Number: 7634419057
NPI Enumeration Date: 04/03/2007
NPI Last Update Date: 07/21/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YA0400X
License Number: 809836-3-CDT
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MN
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Addiction (Substance Use Disorder)
Taxonomy Definition:


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