Central Minnesota Mental Health Center in Buffalo - Addiction (substance Use Disorder)
Central Minnesota Mental Health Center - NPI 1679694616
Central Minnesota Mental Health Center is a Addiction (substance Use Disorder) in Buffalo, 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 1679694616. The last update date is 2008-07-21.
Central Minnesota Mental Health Center's current location address is 308 12th Ave S, Buffalo, Minnesota. You can contact this provider via phone number 7636824400 and fax number 7636821353. The mailing address for Central Minnesota Mental Health Center is 308 12th Ave S, Buffalo, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Central Minnesota Mental Health Center |
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Address | 308 12th Ave S, Buffalo, Minnesota |
Phone Number | 7636824400 |
Fax Number | 7636821353 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Baraga David |
Credentials | PH.D, LP |
Telephone Number | 3202525010 |
NPI Number Detail
NPI Number | 1679694616 |
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Provider Enumeration Date | 2007-04-03 |
Last Updated Date | 2008-07-21 |
Provider Mailing Address Detail
Address | 308 12th Ave S |
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City | Buffalo |
State | Minnesota (MN) |
Post Code | 553132321 |
Phone Number | 7636824400 |
Fax Number | 7636821353 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 807286-5-CDT |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
492319700 | MN | PROVIDER NUMBERE |
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What is the unique 10-digit identification code issued to Central Minnesota Mental Health Center by the Centers for Medicare & Medicaid Services?
The Central Minnesota Mental Health Center has been assigned the NPI (National Provider Identifier) 1679694616 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Central Minnesota Mental Health Center?
The Central Minnesota Mental Health Center is situated at 308 12Th Ave S, in the city of Buffalo, state of MN, with the zip code 553132321.
What is Central Minnesota Mental Health Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Central Minnesota Mental Health Center is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
When did the Central Minnesota Mental Health Center receive its 1679694616?
The Central Minnesota Mental Health Center was issued its 1679694616 on 2007-04-03, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Central Minnesota Mental Health Center most recently updated or revised?
The information pertaining to Central Minnesota Mental Health Center, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-21.
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