National Provider Identifier Database

CHILD AND ADOLESCENT BEHAVIORAL HEALTH SERVICES
Children


Contact Information

CHILD AND ADOLESCENT BEHAVIORAL HEALTH SERVICES
1701 TECHNOLOGY DRIVE NE
WILLMAR, MN56201
Phone: 320-214-3361
Fax: 320-231-5901
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for CHILD AND ADOLESCENT BEHAVIORAL HEALTH SERVICES

NPI Number 1609091388
Legal business name
LBN
CHILD AND ADOLESCENT BEHAVIORAL HEALTH SERVICES
Authorized official KIM CARDINAL - (ACCOUNTS RECEIVABLE SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 04/16/2007
Last updated 11/09/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 334466

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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