Organization
NORTHERN PINES MENTAL HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK FRANCIS BUBLITZ LICSW (EXECUTIVE DIRECTOR)
(218) 829-3235
Entity
Organization
Contact information
Practice address
520 NW 5TH ST, BRAINERD, MN 56401-2902
(218) 829-3235
(218) 829-1368
Mailing address
407 N 4TH ST, BRAINERD, MN 56401-3034
(218) 829-3235
(218) 829-1368
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
05401
MN
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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