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Organization

CHILD PSYCHIATRIC SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY ANN SCHORN-RHODA APRN, CPNP,CNS (APRN-PSYCHIATRY)
(320) 597-4109
Entity
Organization

Contact information

Practice address
22194 GREAT NORTHERN DR, COLD SPRING, MN 56320-8811
(320) 597-4109
Mailing address
22194 GREAT NORTHERN DR, COLD SPRING, MN 56320-8811
(320) 597-4109

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2009002720
MN
251S00000X
Community/Behavioral Health Agency
R126869-2
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
817825900
MEDICARE ID TPYE UNSPECIFIED
MN
Enumeration date
06/11/2015
Last updated
06/11/2015
Update your record

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