Organization · Type 2 NPI

Sanford Health of Northern Minnesota

Mental Illness Community Based Residential Treatment Facility · Bemidji, MN

NPI number 1093278764 Active

Practice location

3124 Hannah Ave NW
Bemidji, MN 56601-5625

Fax (218) 333-0317

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Substance Use Disorder Rehabilitation Hospital Unit 276400000XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Another provider at this address

About NPI 1093278764

Sanford Health of Northern Minnesota's National Provider Identifier is 1093278764, issued on Apr 10, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Bemidji, MN. The record was last updated on Nov 27, 2023.