Gerard Academy | |
1111 28th St Ne Austin MN 55912-6410 | |
(507) 433-1843 | |
(507) 433-7868 |
Full Name | Gerard Academy |
---|---|
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1111 28th St Ne, Austin, Minnesota |
Authorized Official Name and Position | Brenton E Henry (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5074331843 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gerard Academy Po Box 715 Austin MN 55912-0715 Ph: (507) 433-1843 | Gerard Academy 1111 28th St Ne Austin MN 55912-6410 Ph: (507) 433-1843 |
NPI Number | 1750631115 |
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Provider Enumeration Date | 09/13/2012 |
Last Update Date | 09/13/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750631115 | NPI | - | NPPES |
1972650893 | Other | MN | NPI FOR RESIDENTIAL TREATMENT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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