| Child Psychiatric Services | |
|
22194 Great Northern Dr Cold Spring MN 56320-8811 | |
| (320) 597-4109 | |
| Not Available |
| Full Name | Child Psychiatric Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22194 Great Northern Dr, Cold Spring, Minnesota |
| Authorized Official Name and Position | Mary Ann Schorn-rhoda (APRN-PSYCHIATRY) |
| Authorized Official Contact | 3205974109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Psychiatric Services 22194 Great Northern Dr Cold Spring MN 56320-8811 Ph: (320) 597-4109 | Child Psychiatric Services 22194 Great Northern Dr Cold Spring MN 56320-8811 Ph: (320) 597-4109 |
| NPI Number | 1275914582 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275914582 | NPI | - | NPPES |
| 817825900 | Other | MN | MEDICARE ID TPYE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | R126869-2 (Minnesota) | Secondary |
| 251S00000X | Community/behavioral Health | 2009002720 (Minnesota) | Primary |
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