| NPI | 1831177195 |
|---|---|
| Other Name | CMMHC |
| Entity Type | Organization |
| Authorized Contact | DAVID J. BARAGA Executive Director 320-252-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 800356-1-MHC) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 804852-1-DS) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 800832-2-CDT) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 807286-3-CDT) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 809836-2-CDT) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1022869-1-CDT) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 800357-1-CDT) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 809140-1-RMI) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2009-05-27 |