Organization · Type 2 NPI
Minnesota Specialty Health Systems-Wadena
Mental Illness Community Based Residential Treatment Facility · Wadena, MN
NPI number
1154626554
Active
Practice location
240 Shady Lane Dr
Wadena, MN 56482-3093
Mailing address
3200 Labore Rd, Suite 104
Vadnais Heights, MN 55110-5186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 1058768-1-RMI (MN) |
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.
3 other providers at this address
About NPI 1154626554
Minnesota Specialty Health Systems-Wadena's National Provider Identifier is 1154626554, issued on Jan 14, 2011. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Wadena, MN. The record was last updated on Jan 7, 2026.