Basic Information
| Provider Information | |||||||||
| NPI: | 1194819169 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TOUCHSTONE MENTAL HEALTH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2312 SNELLING AVENUE | ||||||||
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| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6128746409 | ||||||||
| FaxNumber: | 6128740157 | ||||||||
| Practice Location | |||||||||
| Address1: | 2516 E 24TH ST | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554061209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6127221892 | ||||||||
| FaxNumber: | 6127221983 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 05/26/2017 | ||||||||
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| AuthorizedOfficialLastName: | HEROLD | ||||||||
| AuthorizedOfficialFirstName: | DARVIA | ||||||||
| AuthorizedOfficialMiddleName: | K | ||||||||
| AuthorizedOfficialTitleorPosition: | CFO/VP FINANCE & ADMINISTRATION | ||||||||
| AuthorizedOfficialTelephone: | 6127672162 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 320800000X | 07175 | MN | Y | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness |
No ID Information.