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
1726 7TH AVE S, SAINT CLOUD, MN 56301-5711
(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
12/14/2016
Last updated
12/14/2016
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