| Organization Name: | SOUTHWESTERN MENTAL HEALTH CENTER INC |
| NPI Number: | 1487654562 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT K JOHNSON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 216 E Luverne St Luverne |
| State: | MN US |
| Postal Code: | 561561610 |
| Phone Number: | 5072839511 |
| Fax Number: | 5072839514 |
| NPI Enumeration Date: | 07/29/2005 |
| NPI Last Update Date: | 02/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 831125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |