Organization · Type 2 NPI
De Ella D Wilcox LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · St. Cloud, MN
NPI number
1396451241
Active
Practice location
2233 Roosevelt Rd. Ste. 1, 2233 Roosevelt Rd. Ste. 1
St. Cloud, MN 56301
Fax (320) 217-5453
Mailing address
PO Box 7430
St. Cloud, MN 56302-7430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1396451241
De Ella D Wilcox LLC's National Provider Identifier is 1396451241, issued on Jan 24, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in St. Cloud, MN. The record was last updated on Feb 24, 2025.