Organization
DREAMING TREE BEHAVIORAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY K MAHLUM MS, BCBA (CEO)
(507) 272-5646
Entity
Organization
Contact information
Practice address
4708 MANOR BROOK DR NW, ROCHESTER, MN 55901-3176
(507) 272-5646
(507) 775-6103
Mailing address
4708 MANOR BROOK DR NW, ROCHESTER, MN 55901-3176
(507) 775-6103
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-107927
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
1669745105
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669745105
NPI 1
—
Enumeration date
05/01/2012
Last updated
05/01/2012
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