Northern Pines Mental Health Center, Inc in Brainerd - Community/behavioral Health
Northern Pines Mental Health Center, Inc - NPI 1134261290
Northern Pines Mental Health Center, Inc is a Community/behavioral Health in Brainerd, Minnesota. Northern Pines Mental Health Center, Inc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Northern Pines Mental Health Center, Inc is 1134261290. The last update date is 2020-08-22.
Northern Pines Mental Health Center, Inc's current location address is 407 N 4th St, Brainerd, Minnesota. You can contact this provider via phone number 2188293235 and fax number 2188291368. The mailing address for Northern Pines Mental Health Center, Inc is 407 N 4th St, Brainerd, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northern Pines Mental Health Center, Inc |
|---|---|
| Address | 407 N 4th St, Brainerd, Minnesota |
| Phone Number | 2188293235 |
| Fax Number | 2188291368 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bublitz Francis Mark |
| Credentials | LICSW |
| Telephone Number | 2188293235 |
NPI Number Detail
| NPI Number | 1134261290 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 407 N 4th St |
|---|---|
| City | Brainerd |
| State | Minnesota (MN) |
| Post Code | 564013034 |
| Phone Number | 2188293235 |
| Fax Number | 2188291368 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 5401 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the Northern Pines Mental Health Center, Inc's unique identification number?
The Northern Pines Mental Health Center, Inc has been assigned the NPI (National Provider Identifier) Number 1134261290 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Northern Pines Mental Health Center, Inc?
The Northern Pines Mental Health Center, Inc is physically situated at 407 N 4Th St, in the city of Brainerd, state of MN, with the postal code 564013034.
What is Northern Pines Mental Health Center, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Northern Pines Mental Health Center, Inc is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134261290 to Northern Pines Mental Health Center, Inc?
The Northern Pines Mental Health Center, Inc received its 1134261290 assignment from the Centers for Medicare & Medicaid Services on 2007-02-13.
When was the information pertaining to Northern Pines Mental Health Center, Inc most recently updated or revised?
The details related to Northern Pines Mental Health Center, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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