Provider Demographics
NPI:1710246392
Name:CROW WING COUNTY SOCIAL SERVICES
Entity Type:Organization
Organization Name:CROW WING COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE MANGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:SKOGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-824-1101
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:BRAINERD
Mailing Address - State:MN
Mailing Address - Zip Code:56401-0686
Mailing Address - Country:US
Mailing Address - Phone:218-824-1256
Mailing Address - Fax:218-824-1081
Practice Address - Street 1:204 LAUREL ST
Practice Address - Street 2:
Practice Address - City:BRAINERD
Practice Address - State:MN
Practice Address - Zip Code:56401-3547
Practice Address - Country:US
Practice Address - Phone:218-824-1256
Practice Address - Fax:218-824-1081
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CROW WING COUNTY COMMUNITY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare