Northway Intensive Residential Treatment
LBN: Central Minnesota Mental Health Center
Northway Intensive Residential Treatment is an health care organization with primary practice located at 1509 24Th Ave N , Saint Cloud MN 56303-1306. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
Central Minnesota Mental Health Center can be contacted via phone (320) 252-8648, or through Baraga, David J. via phone (320) 252-5010.
Contact Information
Primary practice address
1509 24Th Ave N
Saint Cloud MN 56303-1306
Phone: (320) 252-8648
Fax: (320) 529-4909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 801767-1-RMI | Minnesota |
Profile Details
| NPI number | 1225016306 |
|---|---|
| LBN Legal business name | Central Minnesota Mental Health Center |
| DBA Doing business as | Northway Intensive Residential Treatment |
| Authorized official | Baraga, David J. PH.D., LP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Aug 5th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225016306 | NPPES |
| Minnesota | MEDICAID | 640902400 |
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