Child & Adolescent Behavioral Health Services

NPI 1013042589 - Psychiatric Hospital - 283Q00000X

NPI Details
NPI 1013042589
Enumeration Date 02/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DOUG DOUG
Position MENTAL HEALTH ADMIN OFFICER
Phone (218) 828-2201
Fax
Practice Location
11630 STATE AVE
BRAINERD MN, 56401-7306, US
Phone (218) 828-2201
Fax
Business Location
PO BOX 64979
SAINT PAUL MN, 55164-0979, US
Phone (651) 431-3676
Fax (651) 431-7505
Toxanomy
Taxonomy Code 283Q00000X
License State
License Number
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According to our database, Child & Adolescent Behavioral Health Services NPI is 1013042589, taxonomy code is 283Q00000X Child & Adolescent Behavioral Health Services physically located at 11630 State Ave, Brainerd MN, 56401-7306. NPI Number 1033115704 has the healthcare provider type.

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1013042589 NPI number is provided on an as is basis without warranty of any kind. 1013042589 is maintained by the National Plan & Provider Enumeration System. The contents of Child & Adolescent Behavioral Health Services are for informational purposes only.