Organization
CENTRACARE CLINIC
Active
Other names
Central Minnesota Child Advocacy Center (CAC)
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A BLAIR (SR VP & CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
1900 CENTRACARE CIR STE 1340, SARTELL, MN 56303-5000
(320) 229-5105
(320) 200-3207
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
MN
Other
Enumeration date
08/31/2016
Last updated
06/23/2025
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