National Provider Identifier Database

HCMC PSYCHIATRY CRISIS RESIDENTIAL HENNEPIN HEALTHCARE SYSTEMS INC
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.


Contact Information

HCMC PSYCHIATRY CRISIS RESIDENTIAL
LBN HENNEPIN HEALTHCARE SYSTEMS, INC.
3633 CHICAGO AVE, SOUTH
MINNEAPOLIS, MN55407
Phone: 612-352-5600
Fax: 612-352-5609
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for HCMC PSYCHIATRY CRISIS RESIDENTIAL

NPI Number 1841742699
Legal business name
LBN
HENNEPIN HEALTHCARE SYSTEMS, INC.
Doing business as
DBA
HCMC PSYCHIATRY CRISIS RESIDENTIAL
Authorized official DERRICK HOLLINGS - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 10/27/2016
Last updated 10/27/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Other: 1407897309 HENNEPIN COUNTY MEDICAL CENTER'S NPI

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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