Organization
MIDWEST EAP SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE BRENNY (ACCREDIDATION)
(320) 253-1909
Entity
Organization
Contact information
Practice address
1010 W SAINT GERMAIN ST, SUITE 580, SAINT CLOUD, MN 56301-3406
(320) 253-1909
(320) 240-1501
Mailing address
1010 W SAINT GERMAIN ST, SUITE 580, SAINT CLOUD, MN 56301-3406
(320) 253-1909
(320) 240-1501
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001290
PREFERED ONE
MN
01
—
725T6MI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/24/2007
Last updated
07/24/2007
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