Organization
ST CLOUD HOSPITAL
Active
Other names
CentraCare St Cloud Hospital Adolescent Addiction Services
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 COUNTY ROAD 134, SAINT CLOUD, MN 56303-0346
(320) 229-4950
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
(320) 656-7009
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
1031225 2 CDT
MN
Other
Enumeration date
07/02/2008
Last updated
06/20/2023
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