Provider Demographics
NPI:1972650893
Name:GERARD TREATMENT PROGRAMS
Entity Type:Organization
Organization Name:GERARD TREATMENT PROGRAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMISSIONS COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:NERISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-434-4433
Mailing Address - Street 1:1111 28TH ST NE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912-6410
Mailing Address - Country:US
Mailing Address - Phone:507-433-1843
Mailing Address - Fax:
Practice Address - Street 1:1111 28TH ST NE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-6410
Practice Address - Country:US
Practice Address - Phone:507-433-1843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN831080-5-CRF322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children