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Organization
ST. CLOUD HOSPITAL
Active
Organization
ST. CLOUD HOSPITAL
Active
Other names
St Cloud Hospital Behavioral Health - Sartell
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT AND CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
166 19TH ST S, SUITE 201, SARTELL, MN 56377-4654
(320) 656-7074
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 656-7047
(320) 200-3222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
380510
MN
Other
Enumeration date
09/09/2016
Last updated
09/10/2024
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