# CENTRAL MINNESOTA MENTAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CMMHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831177195
- **Authorized official:** DR. DAVID J. BARAGA PH.D., LP (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (320) 252-5010

## Contact information

- **Practice address:** 1321 13TH ST N, SAINT CLOUD, MN 56303-2613
- **Practice address phone:** (320) 252-5010
- **Practice address fax:** (320) 203-1855
- **Mailing address:** 1321 13TH ST N, SAINT CLOUD, MN 56303-2613
- **Mailing address phone:** (320) 252-5010
- **Mailing address fax:** (320) 203-1855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1022869-1-CDT | MN | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 800357-1-CDT | MN | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 800832-2-CDT | MN | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 804852-1-DS | MN | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 807286-3-CDT | MN | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 809836-2-CDT | MN | — |
| 101YM0800X | Mental Health Counselor | 800356-1-MHC | MN | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | 809140-1-RMI | MN | — |

## Other

- **Enumeration date:** 01/06/2006
- **Last updated:** 05/27/2009