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Organization
WOODLAND CENTERS
Active
Organization
WOODLAND CENTERS
Active
Parent organization
WOODLAND CENTERS
Other names
West Central Community Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOODLAND CENTERS
Authorized official
DR. ASHLEY KJOS (CEO)
(320) 235-4613
Entity
Organization
Contact information
Practice address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
(320) 235-4613
Mailing address
1125 6TH ST SE, PO BOX 787, WILLMAR, MN 56201-0787
(320) 235-4613
(320) 231-9140
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
854855205
—
MN
Enumeration date
10/27/2006
Last updated
07/21/2022
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