| Cd Services-monticello | |
|
407 Washington St Monticello MN 55362-8815 | |
| (763) 295-4001 | |
| (763) 295-5086 |
| Full Name | Cd Services-monticello |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 407 Washington St, Monticello, Minnesota |
| Authorized Official Name and Position | David Baraga (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3202022033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cd Services-monticello 1321 13th St N Saint Cloud MN 56303-2613 Ph: (320) 252-5010 | Cd Services-monticello 407 Washington St Monticello MN 55362-8815 Ph: (763) 295-4001 |
| NPI Number | 1407977481 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407977481 | NPI | - | NPPES |
| 764442600 | Other | MN | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1022869-2-CDT (Minnesota) | Primary |
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