NORTHWAY INTENSIVE RESIDENTIAL TREATMENT
NPI 1225016306
Community Based Residential Treatment Facility, Mental Illness in Saint Cloud, MN

Active since January 09, 2006
1509 24TH AVE N, SAINT CLOUD, MN 56303(320) 252-8648(320) 529-4909 Get Directions Write a Review

NPPES record last updated: August 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northway Intensive Residential Treatment NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWAY INTENSIVE RESIDENTIAL TREATMENT (NPI 1225016306) is a healthcare organization registered as a community based residential treatment facility, mental illness in Saint Cloud, Minnesota and active in the NPI registry since January 2006. The organization lists David J. Baraga, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1225016306
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCENTRAL MINNESOTA MENTAL HEALTH CENTER
Location Address1509 24TH AVE NSaint Cloud, MN 56303-1306
Mailing Address1321 13th St NSaint Cloud, MN 56303-2613 · (320) 252-5010 · Fax (320) 203-1855
Fax(320) 529-4909
Organization SubpartNo
Authorized OfficialDavid J. BaragaExecutive Director · (320) 252-5010
Enumeration DateJanuary 9, 2006
Last NPPES UpdateAugust 5, 2009
NPI 1225016306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License Licensed in MN · 801767-1-RMI
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1509 24TH AVE N, Saint Cloud, MN 56303

Other Names 1

Doing Business AsNorthway Intensive Residential Treatment

Other Identifiers 1

Medicaid640902400MN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1509 24TH AVE N
SAINT CLOUD, MN 56303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Minnesota Mental Health Center's NPI number?

The NPI number for Central Minnesota Mental Health Center is 1225016306. It was assigned to this organization in the NPPES registry on January 9, 2006. The provider is doing business as Northway Intensive Residential Treatment.

Where is Central Minnesota Mental Health Center located?

Central Minnesota Mental Health Center is located at 1509 24th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 252-8648.

What is Central Minnesota Mental Health Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Central Minnesota Mental Health Center was last updated on August 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.