Organization
SAFE TRANSITIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BOGENHOLM (PRESIDENT/EXECUTIVE DIRECTOR)
(218) 389-3291
Entity
Organization
Contact information
Practice address
3656 FRONT ST, BARNUM, MN 55707-9651
(218) 389-3291
(218) 389-9851
Mailing address
3656 FRONT ST, BARNUM, MN 55707-9651
(218) 389-3291
(218) 389-9851
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A103667100
—
MN
05
—
A133110000
—
MN
05
—
A204663000
—
MN
05
—
A270437000
—
MN
05
—
A493493000
—
MN
05
—
A507612000
—
MN
05
—
A603952000
—
MN
05
—
A692467000
—
MN
05
—
A749460200
—
MN
05
—
A752922100
—
MN
05
—
A839497100
—
MN
05
—
A878478000
—
MN
Enumeration date
05/30/2008
Last updated
05/30/2008
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