Organization
SOUTH CENTRAL CRISIS CENTER
Active
Parent organization
ST. PETER REGIONAL TREATMENT CENTER
Other names
St. Peter Regional Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETER REGIONAL TREATMENT CENTER
Authorized official
ROD L KORNRUMPF (MENTAL HEALTH ADMIN OFFICER)
(763) 712-4010
Entity
Organization
Contact information
Practice address
521 PFAU ST, MANKATO, MN 56001-7032
(507) 389-6872
Mailing address
PO BOX 64979, SAINT PAUL, MN 55164-0979
(651) 431-3676
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467058206
—
MN
05
—
647618100
—
MN
Enumeration date
06/19/2007
Last updated
06/18/2008
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