Organization
REGION 4 SOUTH ADULT MENTAL HEALTH CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE MURLAINE PESCH (ADMINISTRATOR)
(218) 685-8229
Entity
Organization
Contact information
Practice address
32 CENTRAL AVE S, SUITE 7, ELBOW LAKE, MN 56531-4100
(218) 685-8229
(218) 685-6414
Mailing address
32 CENTRAL AVE S, SUITE 7, ELBOW LAKE, MN 56531-4100
(218) 685-8229
(218) 685-6414
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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