Organization
CATHOLIC CHARITIES OF THE DIOCESE OF ST CLOUD
Active
Other names
SILS-WAIVERED
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE BROSCHOFSKY (FINANCE DIRECTOR)
(320) 650-1571
Entity
Organization
Contact information
Practice address
1730 7TH AVE S, SAINT CLOUD, MN 56301-5711
(320) 240-3337
(320) 240-3358
Mailing address
PO BOX 2390, SAINT CLOUD, MN 56302-2390
(320) 650-1550
(320) 650-1528
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
936315700
—
MN
Enumeration date
03/22/2007
Last updated
08/22/2020
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