Register an Organization

Primary Contact

First Name

Last Name

Phone Number

Extension

Organization Info

Organization Name

Description

Organization Logo:

Street Address 1

Street Address 2

City

State

Zip Code

Main Phone

Extension

Website

How did you hear about us?

Mental Health Providers: I agree to update each location's service availability information every 2 weeks. I understand that failure to do so will result in my organization not appearing in searches and eventually will be removed from the site.

Substance Use Disorder Providers: I agree to update each location's service availability information every 24 hours. I understand that failure to do so will result in my organization not appearing in searches and eventually will be removed from the site. I also attest that all licensure information is up to date and accurate to the best of my knowledge.

All Providers: We are all partnering to serve Minnesotans and, in the interest of offering accurate, timely and accessible information, all partners agree that you have authority to submit and maintain this information and it is accurate to the best of your knowledge.

*Reminder emails will be sent with the above time frames and admins can update if nothing has changed with 1 click from the email.