| Region 4 South Adult Mental Health Consortium | |
|
32 Central Ave S Suite 7 Elbow Lake MN 56531-4100 | |
| (218) 685-8229 | |
| (218) 685-6414 |
| Full Name | Region 4 South Adult Mental Health Consortium |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 32 Central Ave S, Elbow Lake, Minnesota |
| Authorized Official Name and Position | Joyce Murlaine Pesch (ADMINISTRATOR) |
| Authorized Official Contact | 2186858229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Region 4 South Adult Mental Health Consortium 32 Central Ave S Suite 7 Elbow Lake MN 56531-4100 Ph: (218) 685-8229 | Region 4 South Adult Mental Health Consortium 32 Central Ave S Suite 7 Elbow Lake MN 56531-4100 Ph: (218) 685-8229 |
| NPI Number | 1548597917 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 11/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548597917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |