Central Mn Receiving & Referral

LBN: Central Minnesota Mental Health Center
Central Mn Receiving & Referral is an health care organization with primary practice located at 1321 13Th St N , Saint Cloud MN 56303-2613. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Central Minnesota Mental Health Center can be contacted via phone (320) 252-6654, or through Baraga, David via phone (320) 202-2033.

Contact Information

Primary practice address
1321 13Th St N Saint Cloud MN 56303-2613
Phone: (320) 252-6654
Fax: (320) 529-1975
Website:
Map and Directions
Authorized official contact:
Name: Baraga, David PH.D, LP
Phone: (320) 202-2033

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 804852-1-DS Minnesota
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 804852-1-DS Minnesota

Profile Details

NPI number 1629190764
LBN Legal business name Central Minnesota Mental Health Center
DBA Doing business as Central Mn Receiving & Referral
Authorized official Baraga, David PH.D, LP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Dec 20th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629190764 NPPES
Minnesota Other 804852-1-DS DHS LICENSE NUMBER

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