Organization Name: | RANGE MENTAL HEALTH CENTER, INC. |
NPI Number: | 1770872491 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY J CARPENTER (CEO) |
Mailing Address: | 214 Chandler Avenue Eveleth |
State: | MN US |
Postal Code: | 55734 |
Phone Number: | 2184714327 |
Fax Number: | 2187449632 |
NPI Enumeration Date: | 04/04/2011 |
NPI Last Update Date: | 04/14/2016 |
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. |