PCC, Inc

Organization Active NPI Community/Behavioral Health Agency · Delano, MN

NPI 1508081167 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1508081167
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
804117-2-CDT (MN)
Legal business name
PCC, INC
Practice address
620 Babcock Blvd E
Delano, MN 55328-8603
Phone
(763) 972-6527
Fax
(763) 972-3965
NPI assigned
Apr 17, 2007
Organization subpart
No

Authorized official

Name
Mr. Richard James Mielke, LADC
Title
Director
Phone
(763) 972-6527

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
PCC Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 804117-2-CDT MN Yes

Addresses

Primary practice location

620 Babcock Blvd E
Delano, MN 55328-8603

Mailing address

620 Babcock Blvd E
PO Box 558
Delano, MN 55328-8603
Phone (763) 972-6527

Other names

  • Professional Counseling Center of Delano Doing business as

Other providers in Delano, MN

All providers in Delano, MN · Community/Behavioral Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.