Organization · Type 2 NPI

St. Cloud Hospital

Children's Substance Abuse Rehabilitation Facility · St. Cloud, MN

NPI number 1780020925 Active

Practice location

1572 Co Rd 134
St. Cloud, MN 56303-0346

Call (320) 251-2700 Map

Mailing address

1406 6th Ave N
St. Cloud, MN 56303-1900

Specialties and licenses

Taxonomy	Code	License
Children's Substance Abuse Rehabilitation Facility Primary	3245S0500X	None listed

Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

NPI record

NPI: 1780020925
Entity type: Organization (Type 2)
Issued: May 15, 2013
Last updated: Oct 8, 2019
Status: Active

Other names

<unavail>
Recovery Plus Residential - Adolescent · doing business as
Recovery Plus Residential - Adolescent · doing business as

Authorized official

Mr. Michael A. Blair
Sr. Vice President & CFO
(320) 255-5665

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780020925

St. Cloud Hospital's National Provider Identifier is 1780020925, issued on May 15, 2013. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in St. Cloud, MN. The record was last updated on Oct 8, 2019.