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Organization
CATHOLIC CHARITIES OF THE DIOCESE OF ST. CLOUD
Active
Organization
CATHOLIC CHARITIES OF THE DIOCESE OF ST. CLOUD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN R. PAREJA (EXECUTIVE DIRECTOR)
(320) 650-1550
Entity
Organization
Contact information
Practice address
1726 7TH AVE S, SAINT CLOUD, MN 56301-5711
(320) 650-1500
(320) 650-1508
Mailing address
911 18TH ST N, SAINT CLOUD, MN 56303-1203
(320) 650-1550
(320) 650-1528
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
80388912CRF
MN
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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