Organization
WOODLAND CENTERS
Active
Other names
West Central Community Services Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY KJOS (CEO)
(320) 235-4613
Entity
Organization
Contact information
Practice address
1125 6TH ST SE, WILLMAR, MN 56201-0787
(320) 235-4613
(320) 231-9140
Mailing address
1125 6TH ST SE, WILLMAR, MN 56201-0787
(320) 235-4613
(320) 231-9140
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
802665
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45812WE
BCBS
MN
05
—
854855200
—
MN
Enumeration date
10/24/2006
Last updated
07/21/2022
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