Organization
CENTRAL MINNESOTA MENTAL HEALTH CENTER
Active
Other names
CMMHC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J. BARAGA PH.D., LP (EXECUTIVE DIRECTOR)
(320) 252-5010
Entity
Organization
Contact information
Practice address
1321 13TH ST N, SAINT CLOUD, MN 56303-2613
(320) 252-5010
(320) 203-1855
Mailing address
1321 13TH ST N, SAINT CLOUD, MN 56303-2613
(320) 252-5010
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1022869-1-CDT
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
800357-1-CDT
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
800832-2-CDT
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
804852-1-DS
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
807286-3-CDT
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
809836-2-CDT
MN
101YM0800X
Mental Health Counselor
Primary
800356-1-MHC
MN
320800000X
Mental Illness Community Based Residential Treatment Facility
809140-1-RMI
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024755300
—
MN
05
—
024755301
—
MN
05
—
127824000
—
MN
05
—
233650200
—
MN
05
—
492319700
—
MN
05
—
664725100
—
MN
05
—
676555600
—
MN
05
—
742698400
—
MN
05
—
764442600
—
MN
Enumeration date
01/06/2006
Last updated
05/27/2009
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