Organization
ST. CLOUD HOSPITAL
Active
Other names
Recovery Plus Residential - Adolescent
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT & CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
1572 CO RD 134, ST. CLOUD, MN 56303-0346
(320) 251-2700
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
10/08/2019
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