Organization
CHILD AND ADOLESCENT BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CARDINAL (ACCOUNTS RECEIVABLE SUPERVISOR)
(651) 431-3693
Entity
Organization
Contact information
Practice address
1701 TECHNOLOGY DRIVE NE, WILLMAR, MN 56201
(320) 214-3361
(320) 231-5901
Mailing address
1701 TECHNOLOGY DRIVE NE, WILLMAR, MN 56201
(320) 214-3361
(320) 231-5901
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
334466
MN
Other
Enumeration date
04/16/2007
Last updated
11/09/2023
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