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Organization

BEHAVIORAL THERAPY CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHYREE L HUTCHINSON (CEO)
(763) 780-4440
Entity
Organization

Contact information

Practice address
8990 SPRINGBROOK DR NW, SUITE 220, COON RAPIDS, MN 55433-5850
(763) 780-4440
(763) 780-9219
Mailing address
8990 SPRINGBROOK DR NW, SUITE 220, COON RAPIDS, MN 55433-5850
(763) 780-4440
(763) 780-9219

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2693680 2
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107346
UCARE
MN
01
2113638
MHP
MN
01
58552AL
BLUE CROSS
MN
01
58554AL
BLUE CROSS
MN
01
6G316AL
BLUE CROSS
MN
Enumeration date
02/19/2008
Last updated
02/19/2008
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