Primary Contact First Name Last Name Email Phone Number Extension Organization Info Organization Name Description Organization Type (Check all that apply): Boarding Setting Other setting Treatment/Intervention Setting Organization Logo: Street Address 1 Street Address 2 City State Zip Code Main Phone Extension Website Link to Licensure Remove + Add licensure Accreditations (check all that apply): Council on Accreditation (COA) Joint Commission CARF Other: Memberships/Associations (check all that apply): AspireMN Minnesota Hospital Association MNJDA MACMHP Other: I agree to the terms of use Register My Organization
Mental Health Collaboration Hub
