Organization
COMMUNITY BEHAVIORAL HEALTH HOSPITAL-WADENA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA O ALABI (HUMAN SERVICES MANAGER)
(651) 478-8002
Entity
Organization
Contact information
Practice address
201 SHADY LANE DR, WADENA, MN 56482-3093
(218) 319-6001
Mailing address
PO BOX 64979, SAINT PAUL, MN 55164-0979
(651) 431-3676
(651) 431-7505
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34861700
—
MN
Enumeration date
06/07/2006
Last updated
09/04/2019
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