Central Minnesota Mental Health Center in Monticello - Addiction (substance Use Disorder)
Central Minnesota Mental Health Center - NPI 1407977481
Central Minnesota Mental Health Center is a Addiction (substance Use Disorder) in Monticello, Minnesota. Central Minnesota Mental Health Center practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Central Minnesota Mental Health Center is 1407977481. The last update date is 2010-12-16.
Central Minnesota Mental Health Center's current location address is 407 Washington St, Monticello, Minnesota. You can contact this provider via phone number 7632954001 and fax number 7632955086. The mailing address for Central Minnesota Mental Health Center is 407 Washington St, Monticello, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Minnesota Mental Health Center |
|---|---|
| Address | 407 Washington St, Monticello, Minnesota |
| Phone Number | 7632954001 |
| Fax Number | 7632955086 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Baraga David |
| Credentials | PH.D, LP |
| Telephone Number | 3202022033 |
NPI Number Detail
| NPI Number | 1407977481 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2010-12-16 |
Provider Mailing Address Detail
| Address | 407 Washington St |
|---|---|
| City | Monticello |
| State | Minnesota (MN) |
| Post Code | 553628815 |
| Phone Number | 7632954001 |
| Fax Number | 7632955086 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1022869-2-CD |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 764442600 | MN | PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Central Minnesota Mental Health Center by the Centers for Medicare & Medicaid Services?
The Central Minnesota Mental Health Center has been issued the NPI (National Provider Identifier) 1407977481, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Central Minnesota Mental Health Center is physically located?
The Central Minnesota Mental Health Center is situated at the following address: 407 Washington St, Monticello, MN 553628815.
What is the Central Minnesota Mental Health Center's specialty and taxonomy code?
The Central Minnesota Mental Health Center's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407977481 to Central Minnesota Mental Health Center?
The Centers for Medicare & Medicaid Services assigned the 1407977481 to Central Minnesota Mental Health Center on 2007-04-03.
As of what date was the information pertaining to Central Minnesota Mental Health Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Central Minnesota Mental Health Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-12-16.