Organization · Type 2 NPI
Minnesota Sex Offender Program
Psychiatric Residential Treatment Facility · Moose Lake, MN
Practice location
1111 Highway 73
Moose Lake, MN 55767-9452
Mailing address
3200 Labore Rd., Suite 104
Vadnais Heights, MN 55110-5186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric Residential Treatment Facility Primary | 323P00000X | 339327 (MN) |
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…
7 other providers at this address
- State of MinnesotaPsychiatric Residential Treatment Facility Moose Lake, MN NPI 1639355902
- Bruce A. Beaman, LMFTMarriage & Family Therapist Moose Lake, MN NPI 1922540368
- Debbie Davis, LPCCProfessional Counselor Moose Lake, MN NPI 1386186708
- John Sutherland Barry, MDInternal Medicine Physician Moose Lake, MN NPI 1023095874
- Jonathan Franklin Klingaman, PMHNPPsychiatric/Mental Health Nurse Practitioner Moose Lake, MN NPI 1518287481
- Keri Ann Ovsak, RN, MA, FNP-BCFamily Nurse Practitioner Moose Lake, MN NPI 1811168511
- Tanya Eiffler, DNP, APRN, FNP-CFamily Nurse Practitioner Moose Lake, MN NPI 1386168573
Other psychiatric residential treatment facility providers in Moose Lake
About NPI 1730354549
Minnesota Sex Offender Program's National Provider Identifier is 1730354549, issued on Apr 23, 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 7, 2026.