Central Minnesota Mental Health Center in Annandale - Community Based Residential Treatment Facility, Mental Illness
Central Minnesota Mental Health Center - NPI 1831386275
Central Minnesota Mental Health Center is a Community Based Residential Treatment Facility, Mental Illness in Annandale, Minnesota. Central Minnesota Mental Health Center practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Central Minnesota Mental Health Center is 1831386275. The last update date is 2009-08-05.
Central Minnesota Mental Health Center's current location address is 380 Annandale Blvd, Annandale, Minnesota. You can contact this provider via phone number 3202744050 and fax number 3202744069. The mailing address for Central Minnesota Mental Health Center is 380 Annandale Blvd, Annandale, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Minnesota Mental Health Center |
|---|---|
| Address | 380 Annandale Blvd, Annandale, Minnesota |
| Phone Number | 3202744050 |
| Fax Number | 3202744069 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Baraga J. David |
| Credentials | PH.D., LP |
| Telephone Number | 3202525010 |
NPI Number Detail
| NPI Number | 1831386275 |
|---|---|
| Provider Enumeration Date | 2007-10-01 |
| Last Updated Date | 2009-08-05 |
Provider Mailing Address Detail
| Address | 380 Annandale Blvd |
|---|---|
| City | Annandale |
| State | Minnesota (MN) |
| Post Code | 55302 |
| Phone Number | 3202744050 |
| Fax Number | 3202744069 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | FBL-0020515- |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FBL-0020515-251 | MN | DEPART OF HEALTH LICENSE |
Post Comment/ Review Below
What is the Central Minnesota Mental Health Center's unique identification number?
The Central Minnesota Mental Health Center has been assigned the NPI (National Provider Identifier) Number 1831386275 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Central Minnesota Mental Health Center's facilities are situated?
The facilities of Central Minnesota Mental Health Center are physically located at the following address: 380 Annandale Blvd, Annandale, MN, 55302.
What is Central Minnesota Mental Health Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Central Minnesota Mental Health Center is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 320800000X.
When was the Central Minnesota Mental Health Center's 1831386275 issued?
The Central Minnesota Mental Health Center's 1831386275 was issued on 2007-10-01.
When was the information related to Central Minnesota Mental Health Center most recently updated or refreshed?
The details pertaining to the Central Minnesota Mental Health Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-08-05.
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