| NPI | 1811150618 |
|---|---|
| Doing Business As | CENTRACARE ST CLOUD HOSPITAL ADOLESCENT ADDICTION SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A BLAIR Sr. Vice President & CFO 320-255-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: MN 1031225 2 CDT) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2023-06-20 |