Organization
PINNACLE PROGRAMS, INC
Active
Other names
Southwestern Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA ANN MCCLURE (OFFICE MANAGER)
(507) 283-4425
Entity
Organization
Contact information
Practice address
401 W LUVERNE ST, MAGNOLIA, MN 56158-2004
(507) 283-4425
(507) 283-4284
Mailing address
401 W LUVERNE ST, PO BOX 40, MAGNOLIA, MN 56158-2004
(507) 283-4425
(507) 283-4284
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1036948-1-CRF
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5160420
—
SD
Enumeration date
08/13/2007
Last updated
08/13/2007
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