Organization
ST. CLOUD TMS LLC
Active
Parent organization
ERIC JOHNSON
Organization subpart
Yes
Provider details
NPI number
Legal business name
ERIC JOHNSON
Authorized official
ERIC AUSTIN JOHNSON MD (OWNER)
(218) 481-0220
Entity
Organization
Contact information
Practice address
925 E SUPERIOR ST STE 106, DULUTH, MN 55802-2253
(218) 481-0220
(218) 481-0325
Mailing address
925 E SUPERIOR ST STE 106, DULUTH, MN 55802-2253
(218) 481-0220
(218) 481-0325
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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