Organization
CATHOLIC CHARITIES OF THE DIOCESE OF ST. CLOUD
Active
Other names
HOPE - WAIVERED
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY DILLMAN (BUSINESS OFFICE MANAGER)
(320) 650-1545
Entity
Organization
Contact information
Practice address
157 ROOSEVELT RD, SUITE 300, SAINT CLOUD, MN 56301-5478
(320) 240-3324
(320) 240-3339
Mailing address
PO BOX 2390, SAINT CLOUD, MN 56302-2390
(320) 650-1550
(320) 650-1510
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
936315701
—
MN
Enumeration date
03/02/2007
Last updated
04/02/2015
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