Provider First Line Business Practice Location Address:
1406 6TH AVE N
Provider Second Line Business Practice Location Address:
ST CLOUD HOSPITAL BEHAVIORAL HEALTH CLINIC
Provider Business Practice Location Address City Name:
ST CLOUD
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-229-4908
Provider Business Practice Location Address Fax Number:
320-656-7026
Provider Enumeration Date:
02/28/2006