Organization
SOUTH CENTRAL HUMAN RELATIONS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE M MERXBAUER (EXECUTIVE DIRECTOR)
(507) 451-2630
Entity
Organization
Contact information
Practice address
610 FLORENCE AVE, OWATONNA, MN 55060-4704
(507) 451-2630
(507) 455-8133
Mailing address
610 FLORENCE AVE, OWATONNA, MN 55060-4704
(507) 451-2630
(507) 455-8133
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
802265-1-MHC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116875
UCARE ID#
MN
05
—
205055200
—
MN
01
—
23107
STATE ID#
MN
01
—
35145HU
BLUE CROSS BLUE SHIELD#
MN
01
—
9016593
MN TAX ID #
MN
Enumeration date
07/13/2006
Last updated
02/16/2023
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