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Organization
BEHAVIORAL THERAPY CENTER, INC.
Active
Organization
BEHAVIORAL THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHYREE L HUTCHINSON (CEO)
(763) 780-4440
Entity
Organization
Contact information
Practice address
8990 SPRINGBROOK DR NW, SUITE 220, COON RAPIDS, MN 55433-5850
(763) 780-4440
(763) 780-9219
Mailing address
8990 SPRINGBROOK DR NW, SUITE 220, COON RAPIDS, MN 55433-5850
(763) 780-4440
(763) 780-9219
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2693680 2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107346
UCARE
MN
01
—
2113638
MHP
MN
01
—
58552AL
BLUE CROSS
MN
01
—
58554AL
BLUE CROSS
MN
01
—
6G316AL
BLUE CROSS
MN
Enumeration date
02/19/2008
Last updated
02/19/2008
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