| St Peter Regional Treatment Center | |
|
521 Pfau St Mankato MN 56001-7032 | |
| (507) 389-6872 | |
| Not Available |
| Full Name | St Peter Regional Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 521 Pfau St, Mankato, Minnesota |
| Authorized Official Name and Position | Rod L Kornrumpf (MENTAL HEALTH ADMIN OFFICER) |
| Authorized Official Contact | 7637124010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Peter Regional Treatment Center Po Box 64979 Saint Paul MN 55164-0979 Ph: (651) 431-3676 | St Peter Regional Treatment Center 521 Pfau St Mankato MN 56001-7032 Ph: (507) 389-6872 |
| NPI Number | 1770789711 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770789711 | NPI | - | NPPES |
| 444433000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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