NPI 1013042589
Child & Adolescent Behavioral Health Services
Practice location
- Address
- 11630 State Ave, Brainerd, MN 56401-7306
- Phone
- (218) 828-2201
- Mailing address
- PO Box 64979, Saint Paul, MN 55164-0979
Authorised official
- Name
- Doug Seiler
- Title
- Mental Health Admin Officer
- Phone
- (218) 739-7224
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1013042589
- Entity type
- Organization
- NPI issued
- 23 Feb 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.