Organization
CATHOLIC CHARITIES OF THE DIOCESE OF ST. CLOUD
Active
Other names
Caritas Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE BROSCHOFSKY (FINANCE DIRECTOR)
(320) 650-1571
Entity
Organization
Contact information
Practice address
911 18TH ST N, SAINT CLOUD, MN 56303-1203
(320) 650-1550
Mailing address
PO BOX 2390, SAINT CLOUD, MN 56302-2390
(320) 650-1550
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC6318
RAILROAD MEDICARE PART B
MN
Enumeration date
02/28/2007
Last updated
09/11/2025
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