| Gerard Treatment Programs, Llc | |
|
1111 28th St Ne Austin MN 55912-6410 | |
| (507) 433-1843 | |
| (507) 433-7868 |
| Full Name | Gerard Treatment Programs, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1111 28th St Ne, Austin, Minnesota |
| Authorized Official Name and Position | Brenton E Henry (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5074331843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard Treatment Programs, Llc Po Box 715 Austin MN 55912-0715 Ph: (507) 433-1843 | Gerard Treatment Programs, Llc 1111 28th St Ne Austin MN 55912-6410 Ph: (507) 433-1843 |
| NPI Number | 1750631115 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 09/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750631115 | NPI | - | NPPES |
| 1972650893 | Other | MN | NPI FOR RESIDENTIAL TREATMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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