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Organization
CHILD AND ADOLESCENT BEHAVIORAL HEALTH SERVICES
Active
Organization
CHILD AND ADOLESCENT BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CARDINAL (ACCOUNTS RECEIVABLE SUPERVISOR)
(651) 431-3693
Entity
Organization
Contact information
Practice address
1701 TECHNOLOGY DRIVE NE, WILLMAR, MN 56201
(320) 214-3361
(320) 231-5901
Mailing address
1701 TECHNOLOGY DRIVE NE, WILLMAR, MN 56201
(320) 214-3361
(320) 231-5901
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
334466
MN
Other
Enumeration date
04/16/2007
Last updated
11/09/2023
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