| Central Minnesota Mental Health Center | |
|
308 12th Ave S Buffalo MN 55313-2321 | |
| (763) 682-4400 | |
| (763) 682-1353 |
| Full Name | Central Minnesota Mental Health Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 308 12th Ave S, Buffalo, Minnesota |
| Authorized Official Name and Position | David Baraga (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3202525010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Minnesota Mental Health Center 1321 13th St N Saint Cloud MN 56303-2613 Ph: (320) 252-5010 | Central Minnesota Mental Health Center 308 12th Ave S Buffalo MN 55313-2321 Ph: (763) 682-4400 |
| NPI Number | 1679694616 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679694616 | NPI | - | NPPES |
| 492319700 | Other | MN | PROVIDER NUMBERE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 807286-5-CDT (Minnesota) | Primary |
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