Developmental Impact LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Saint Cloud, MN. Organization (NPI-2).
Details
- NPI
- 1669901393
- Entity type
- Organization (NPI-2)
- Legal business name
- Developmental Impact LLC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2017
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 2474 | MN | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | 2474 | MN | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | 2474 | MN |
Practice location
720 8th Ave NSaint Cloud, MN 56303-3420
Phone 320-420-2234 · Fax 320-251-0217
Mailing address
720 8th Ave NSaint Cloud, MN 56303-3420
Phone 320-420-2234 · Fax 320-251-0217
Authorized official
Theresa Schreifels
Ceo
3204202234
Is something wrong?
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