Whalio Doctors

NPI 1578765269

Kandiyohi County Group Homes

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Willmar, MN

Practice location

Address
822 Park Ave NW, Willmar, MN 56201-2568
Phone
(320) 235-6637
Fax
(320) 235-6659

Authorised official

Name
Sue Harding
Title
Executive Director
Phone
(320) 235-6637

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X

Registry record

NPI
1578765269
Entity type
Organization
NPI issued
4 Jun 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.