# CATHOLIC CHARITIES OF THE DIOCESE OF ST. CLOUD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548705668
- **Authorized official:** STEPHEN R. PAREJA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (320) 650-1550

## Contact information

- **Practice address:** 911 18TH ST N, SAINT CLOUD, MN 56303-1203
- **Practice address phone:** (320) 650-1500
- **Practice address fax:** (320) 650-1508
- **Mailing address:** 911 18TH ST N, SAINT CLOUD, MN 56303-1203
- **Mailing address phone:** (320) 650-1550
- **Mailing address fax:** (320) 650-1528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 80388912CRF | MN | Yes |

## Other

- **Enumeration date:** 12/28/2016
- **Last updated:** 12/28/2016
