Organization
TUTAPONA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL GAEDE MSW (CEO)
(715) 222-6028
Entity
Organization
Contact information
Practice address
1935 COUNTY ROAD B2 W STE 270, ROSEVILLE, MN 55113-2785
(715) 222-6028
Mailing address
PO BOX 214, NEW RICHMOND, WI 54017-0214
(715) 222-6028
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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