Minnesota Sex Offender Program
Minnesota Sex Offender Program is a Psychiatric Residential Treatment Facility in Moose Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.
- Licensed in
- MN
- In the registry since
- 2008
Practice location Address checks out
1111 Highway 73Moose Lake, MN 55767-9452
Phone: (218) 485-5300
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric Residential Treatment Facility (primary) | Taxonomy 323P00000X · Licence 339327 (MN) |
|---|
Record details
| NPI number | 1730354549 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Moose Lake Regional State Operated Services |
| Authorized official | Lynn Glancey — Chief Financial Officer · (651) 539-7200 |
| Other names | Moose Lake Regional State Operated Services |
| NPI enumerated | April 23, 2008 |
| Last updated in NPPES | January 7, 2026 |
| Certification date | January 7, 2026 |
| Mailing address | 3200 Labore Rd., Suite 104, Vadnais Heights, MN 55110-5186 |
Other providers in Moose Lake
-
State of Minnesota
1111 Highway 73, Moose Lake, MN 55767-9452 · (218) 485-5300