| Northern Pines Mental Health Center, Inc. | |
|
520 Nw 5th St Brainerd MN 56401-2902 | |
| (218) 821-7818 | |
| Not Available |
| Full Name | Northern Pines Mental Health Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 520 Nw 5th St, Brainerd, Minnesota |
| Authorized Official Name and Position | Laura L Vaughn (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3206326647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Pines Mental Health Center, Inc. Po Box 367 Little Falls MN 56345-0367 Ph: (320) 632-6647 | Northern Pines Mental Health Center, Inc. 520 Nw 5th St Brainerd MN 56401-2902 Ph: (218) 821-7818 |
| NPI Number | 1225168602 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 12/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225168602 | NPI | - | NPPES |
| 767215200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 09635 (Minnesota) | Primary |
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