Organization
CATHOLIC CHARITIES OF THE DIOCESE OF ST. CLOUD
Active
Other names
Catholic Charities Intensive Residential
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE BROSCHOFSKY (FINANCE DIRECTOR)
(320) 650-1571
Entity
Organization
Contact information
Practice address
1010 MARYLAND LANE, FERGUS FALLS, MN 56537
(218) 739-9325
(218) 739-2242
Mailing address
PO BOX 2390, SAINT CLOUD, MN 56302-2390
(320) 650-1550
(320) 650-1528
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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