NPI 1154626554

Minnesota Specialty Health Systems-Wadena

Organisation Mental Illness Community Based Residential Treatment Facility Wadena, MN

Practice location

Address: 240 Shady Lane Dr, Wadena, MN 56482-3093
Phone: (218) 319-6001
Mailing address: 3200 Labore Rd Suite 104, Vadnais Heights, MN 55110-5186

Authorised official

Name: Lynn Glancey
Title: Chief Financial Officer
Phone: (651) 539-7200

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 1058768-1-RMI (MN)

Other Community Based Residential Treatment Facility, Mental Illness providers in Minnesota →

Registry record

NPI: 1154626554
Entity type: Organization
NPI issued: 14 Jan 2011
Record last updated: 7 Jan 2026

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.