Organization · Type 2 NPI

State of Minnesota

Psychiatric Residential Treatment Facility · Moose Lake, MN

NPI number 1639355902 Active

Practice location

1111 Highway 73
Moose Lake, MN 55767-9452

Mailing address

400 Centennial Building, 658 Cedar Street
St. Paul, MN 55155-1616

Specialties and licenses

TaxonomyCodeLicense
Psychiatric Residential Treatment Facility Primary 323P00000XNone listed

Psychiatric Residential Treatment Facility: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital car…

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About NPI 1639355902

State of Minnesota's National Provider Identifier is 1639355902, issued on Jan 16, 2008. The primary taxonomy on file is Psychiatric Residential Treatment Facility (323P00000X), and the practice location is in Moose Lake, MN. The record was last updated on Jan 16, 2008.