MINNESOTA SEX OFFENDER PROGRAM – NPI #1730354549
Psychiatric Residential Treatment Facility

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

MINNESOTA SEX OFFENDER PROGRAM is a psychiatric residential treatment facility located in MOOSE LAKE, MN. NPPES has assigned the NPI number 1730354549 to MINNESOTA SEX OFFENDER PROGRAM on April 23, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 323P00000X from the Health Care Provider Taxonomy code set, which is classified as Psychiatric Residential Treatment Facility.

The NPI profile was last updated on Jan 07, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MINNESOTA SEX OFFENDER PROGRAM below.

NPI Profile for
MINNESOTA SEX OFFENDER PROGRAM

NPI Number
1730354549
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MINNESOTA SEX OFFENDER PROGRAM
Primary location
1111 HIGHWAY 73
MOOSE LAKE, MN 55767-9452
Phone: (218) 485-5300 Fax:
Mailing address
3200 LABORE RD.
SUITE 104
VADNAIS HEIGHTS, MN 55110-5186
Phone: (651) 539-7200 Fax: (651) 431-7505
Organization Subpart
Yes - MINNESOTA SEX OFFENDER PROGRAM is subpart of another organization.
Authorized Official
LYNN GLANCEY
CHIEF FINANCIAL OFFICER
Phone: (651) 539-7200
Updated
Certification Date
Jan 07, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MINNESOTA SEX OFFENDER PROGRAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMN679415000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
323P00000X
- Psychiatric Residential Treatment Facility (Primary)
MN 339327

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.