MEDICARE: TOUCHSTONE MENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320800000X	Mental Illness Community Based Residential Treatment Facility	07175	MN

General Provider Information

NPI Number	:	1194819169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOUCHSTONE MENTAL HEALTH

Provider Business Mailing Address
First Line	:	2312 SNELLING AVENUE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404
Country	:	US
Telephone Number	:	612-874-6409
Fax Number	:	612-874-0157

Provider Business Practice Location Address
First Line	:	2516 E 24TH ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1209
Country	:	US
Telephone Number	:	612-722-1892
Fax Number	:	612-722-1983

Authorized Official
Title or Position	:	CFO/VP FINANCE & ADMINISTRATION
Name	:	SARAH WILKE
Credential	:
Telephone Number	:	612-314-1151

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	01/27/2023

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