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Organization

CATHOLIC CHARITIES OF THE DIOCESE OF ST. CLOUD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN R. PAREJA (EXECUTIVE DIRECTOR)
(320) 650-1550
Entity
Organization

Contact information

Practice address
911 18TH ST N, SAINT CLOUD, MN 56303-1203
(320) 650-1500
(320) 650-1508
Mailing address
911 18TH ST N, SAINT CLOUD, MN 56303-1203
(320) 650-1550
(320) 650-1528

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
80388912CRF
MN

Other

Enumeration date
12/28/2016
Last updated
12/28/2016
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