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Organization

MINNESOTA SPECIALTY HEALTH SYSTEMS-BRAINERD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN GLANCEY (CHIEF FINANCIAL OFFICER)
(651) 539-7200
Entity
Organization

Contact information

Practice address
11615 STATE AVE, BRAINERD, MN 56401-7306
(218) 828-2718
(218) 828-2569
Mailing address
3200 LABORE RD., SUITE 104, VADNAIS HEIGHTS, MN 55110-5186
(651) 539-7200
(651) 431-7505

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
353355
MN

Other

Enumeration date
08/01/2011
Last updated
01/07/2026
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