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Organization

DIRECT CARE AND TREATMENT - FORENSIC SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SONIYA HIRACHAN MD (MEDICAL DIRECTOR)
(507) 985-2832
Entity
Organization

Contact information

Practice address
100 FREEMAN DR, SAINT PETER, MN 56082-3504
(507) 985-2000
Mailing address
100 FREEMAN DR, SAINT PETER, MN 56082-3504
(507) 933-5013

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Enumeration date
02/02/2017
Last updated
02/02/2017
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