| St Cloud Hospital Behavioral Health - Sartell | |
|
166 19th St S Suite 201 Sartell MN 56377-4654 | |
| (320) 656-7074 | |
| Not Available |
| Full Name | St Cloud Hospital Behavioral Health - Sartell |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 166 19th St S, Sartell, Minnesota |
| Authorized Official Name and Position | Michael A. Blair (SR. VICE PRESIDENT AND CFO) |
| Authorized Official Contact | 3202555665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Cloud Hospital Behavioral Health - Sartell 1406 6th Ave N Saint Cloud MN 56303-1900 Ph: (320) 656-7047 | St Cloud Hospital Behavioral Health - Sartell 166 19th St S Suite 201 Sartell MN 56377-4654 Ph: (320) 656-7074 |
| NPI Number | 1083161814 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 10/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083161814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 380510 (Minnesota) | Primary |
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