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City Of White Bear Lake Mn
Community/Behavioral Health Agency in White Bear Lake, Minnesota
NPI 1053483248

City Of White Bear Lake Mn is a Community/Behavioral Health Agency based in White Bear Lake, MN. City Of White Bear Lake Mn practices in White Bear Lake, MN. The NPI Number for City Of White Bear Lake Mn is 1053483248 and holds a License No. 8026811MHC (Minnesota).

The current practice location address for City Of White Bear Lake Mn is 1280 North Birch Lake Blvd, White Bear Lake, MN and can be reached out via phone at 651-429-8544 and via fax at 651-407-5301.

Location: 1280 North Birch Lake Blvd, White Bear Lake, MN, 55110-6708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053483248
Provider Name
City Of White Bear Lake Mn
Credential
Provider Entity Type
Organization
Address
1280 North Birch Lake Blvd, White Bear Lake, MN, 55110-6708
Phone Number
651-429-8544
Fax Number
651-407-5301
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N008855 01 CHAMPUS CLINIC #
29626WH 01 MN BLUE CROSS BLUE SHIELD
102981 01 MN UCARE MINNESOTA CLINIC #
institution
Provider Business Practice Location Address Details
Address
1280 North Birch Lake Blvd
City
White Bear Lake
State
Minnesota
Zip
55110-6708
Phone Number
651-429-8544
Fax Number
651-407-5301
person
Provider Business Mailing Address Details
Address
1280 North Birch Lake Blvd
City
White Bear Lake
State
Minnesota
Zip
55110-6708
Phone Number
651-429-8544
Fax Number
651-407-5301
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
8026811MHC (Minnesota)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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