Annandale Intensive Residential Treatment

LBN: Central Minnesota Mental Health Center
Annandale Intensive Residential Treatment is an health care organization with primary practice located at 380 Annandale Blvd , Annandale MN 55302. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Central Minnesota Mental Health Center can be contacted via phone (320) 274-4050, or through Baraga, David J. via phone (320) 252-5010.

Contact Information

Primary practice address
380 Annandale Blvd Annandale MN 55302
Phone: (320) 274-4050
Fax: (320) 274-4069
Website:
Map and Directions
Authorized official contact:
Name: Baraga, David J. PH.D., LP
Phone: (320) 252-5010

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X FBL-0020515-25193 Minnesota

Profile Details

NPI number 1831386275
LBN Legal business name Central Minnesota Mental Health Center
DBA Doing business as Annandale Intensive Residential Treatment
Authorized official Baraga, David J. PH.D., LP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2007
Last updated Aug 5th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831386275 NPPES
Minnesota Other FBL-0020515-25193 DEPART OF HEALTH LICENSE

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