Range Mental Health Center

NPI #1457452823 in Virginia, Minnesota

Provider Information

NPI Number: 1457452823
Entity Type: Organization
Organization Name: Range Mental Health Center
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 26, 2006
Last Updated: Apr 1, 2016

Practice Location

Address: 624 S 13TH ST
City: Virginia
State: Minnesota
ZIP Code: 55792
Phone: (218) 749-2881

Authorized Official

Name: MARY J CARPENTER, MSED, LP
Title: CHIEF EXECUTIVE OFFICER
Phone: (218) 749-2881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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